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WO2000009000A2 - Trans-osseous device - Google Patents

Trans-osseous device Download PDF

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Publication number
WO2000009000A2
WO2000009000A2 PCT/RU1999/000286 RU9900286W WO0009000A2 WO 2000009000 A2 WO2000009000 A2 WO 2000009000A2 RU 9900286 W RU9900286 W RU 9900286W WO 0009000 A2 WO0009000 A2 WO 0009000A2
Authority
WO
WIPO (PCT)
Prior art keywords
arc
support
rod
tube
threaded
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/RU1999/000286
Other languages
French (fr)
Russian (ru)
Other versions
WO2000009000A3 (en
Inventor
Vladimir Ivanovich Shevtsov
Arnold Vasilievich Popkov
Eduard Valentovich Burlakov
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Rossysky Nauchny Tsentr 'vosstanovitelnaya Travma Tologiya I Ortopediya' Im Akademika Gailizarova
Original Assignee
Rossysky Nauchny Tsentr 'vosstanovitelnaya Travma Tologiya I Ortopediya' Im Akademika Gailizarova
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from RU98115805/14A external-priority patent/RU98115805A/en
Application filed by Rossysky Nauchny Tsentr 'vosstanovitelnaya Travma Tologiya I Ortopediya' Im Akademika Gailizarova filed Critical Rossysky Nauchny Tsentr 'vosstanovitelnaya Travma Tologiya I Ortopediya' Im Akademika Gailizarova
Priority to JP2000564508A priority Critical patent/JP2002522145A/en
Publication of WO2000009000A2 publication Critical patent/WO2000009000A2/en
Publication of WO2000009000A3 publication Critical patent/WO2000009000A3/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • 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
    • A61B17/66—Alignment, compression or distraction mechanisms
    • 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

Definitions

  • G. G. Ilizarova A well-known distribution apparatus of G. G. Ilizarova is known ( ⁇ . 1969.538710, ⁇ ).
  • ⁇ n s ⁇ de ⁇ zhi ⁇ ⁇ y as ⁇ azmy ⁇ aemy ⁇ ⁇ lets and arcs s ⁇ itsy, ⁇ eles ⁇ iches ⁇ ie and vin ⁇ vye s ⁇ e ⁇ zhni, elemen ⁇ y ⁇ e ⁇ leniya, components ⁇ eguli ⁇ v ⁇ i and ⁇ i ⁇ satsii ⁇ and s ⁇ its, ⁇ i e ⁇ m ⁇ slednie vsh ⁇ lneny as ug ⁇ lni ⁇ v with ⁇ ve ⁇ s ⁇ iyami, ⁇ lan ⁇ with ⁇ ve ⁇ s ⁇ iyami, ⁇ lan ⁇ with ⁇ ezb ⁇ vymi ⁇ nchaniyami, svyazanny ⁇ with ⁇ lzunami
  • SIGNIFICANT FOX (DR. 26) ⁇ 00/09000 ⁇ 99 / 00286
  • the working end is quicker than the nut. and the sink has a deep groove in the middle of the case with the possibility of contacting the patient with a casual condition and loss of health.
  • the rotary knot of the crank mechanism for the rotary nut is known (Pat. ° 5. 379, 873 US).
  • Izves ⁇ en na ⁇ uzhny ⁇ i ⁇ sa ⁇ Iliza ⁇ va ( ⁇ e ⁇ Y ⁇ ⁇ ⁇ . ⁇ e ⁇ ega ⁇ Zig ⁇ sa ⁇ ⁇ es ⁇ ie ⁇ g ⁇ s ⁇ ige 1988) ⁇ y s ⁇ de ⁇ zhi ⁇ two ⁇ a ⁇ y ⁇ s ⁇ edinenny ⁇ between s ⁇ b ⁇ y with v ⁇ zm ⁇ zhn ⁇ s ⁇ yu ⁇ e ⁇ emesheniya, ⁇ s ⁇ eds ⁇ v ⁇ m g ⁇ adui ⁇ vanny ⁇ ⁇ eles ⁇ iches ⁇ i ⁇ s ⁇ e ⁇ zhney.
  • one is executed in the form of a ring. and the second in the form of a partition, in addition to the rotors of the ring, are secured in the bolts of the locks and two ends of the spokes.
  • the units are connected to a friend of the other neighboring telesystem.
  • the well-known outdoor fixture of the Ilizarov does not have in the connection of the shared nodes connected to one of the mains, which are connected to the Takes advantage of the use of optional accessories, which creates a variety of services and crashes when used and reduces the hardness of the device.
  • SIGNIFICANT FOX (DR. 26) ⁇ ⁇ 00/09000 3 ⁇ 99 / 00286
  • each of the components of the fixation of the space made in the form of a surface - a screw and a spoke. secured by the arc and ring circuits.
  • the latter are interconnected with the possibility of accommodation.
  • the high cost-effectiveness of the aforementioned system makes it possible to reduce the incidence of angles of long-distance operation.
  • SIGNIFICANT FOX (DR. 26) ⁇ ⁇ 00/09000 4, ⁇ ⁇ 99 / 00286
  • One of the arcs may be secured, at the very least, two elements that are secured.
  • the koltsevy form may be connected, at the very least, with the connecting elements with the main arc.
  • the koltsy club is made of two poles, one of which has kolosty completed. and the height of the latter is equal to the thickness of the part of the citizen, in addition, at each of the arc centers of the center of the external and internal radii are displaced by the opposite.
  • SIGNIFICANT FOX (DR. 26) ⁇ ⁇ 00/09000 5 ⁇ 99 / 00286
  • vy ⁇ lnennymi as gae ⁇ , ⁇ me ⁇ g ⁇ on ⁇ iv ⁇ l ⁇ zhn ⁇ m ⁇ ntse ⁇ ezb ⁇ v ⁇ g ⁇ s ⁇ e ⁇ zhnya us ⁇ an ⁇ vlen ⁇ i ⁇ sa ⁇ ⁇ l ⁇ zheniya equipped shabl ⁇ n ⁇ m ugl ⁇ v ⁇ g ⁇ ⁇ l ⁇ zheniya elemen ⁇ v ⁇ i ⁇ satsii ⁇ s ⁇ i, vy ⁇ lnennym of ⁇ z ⁇ achn ⁇ g ⁇ ma ⁇ e ⁇ iala coated with eg ⁇ ⁇ ve ⁇ n ⁇ s ⁇ i se ⁇ ami with tsi ⁇ ami.
  • 1 represents a private appliance made in accordance with the invention, general view
  • Fig. 2 interconnection of one of the connecting nodes, in which the unit is made curved
  • Fig. 3 - represents the accession of one of the connecting nodes
  • SIGNIFICANT FOX (DR. 26) ⁇ U000 / 09000 ⁇ , ⁇ 99 / 00286
  • Fig. 4 One after the other, from one of the provisions of the provision. installed on the end of the pipe of the connecting node; Fig. 5 - After the use of the B-B, one of the fixtures is: Fig. 6 is used to spare a quick device. in one of the connecting nodes is made of bent pipes; Fig. 7 - a connecting unit made of two connected directional bending pipes; Fig. 8 represents a disconnected connecting end of a bent pipe; Fig. 9 - end of the pipe of the connecting node, as agreed by the invention, with a clip and an adapter; ⁇ ig. 10 cuts out from ⁇ - ⁇ to the end of the club; Fig. 1 1 presents in a developed form the end of the unit.
  • FIG. 12 is disclosed as a result of a location fault intended for the implementation of distribution and compression
  • FIG. 13 Presentation of the attachment of a surface screw to an arc, as a circuit, as agreed on by the invention
  • Figure 14 presents a private appliance, compiled from an arc source and a ring drive; ⁇ ig. 1 5 - ⁇ ⁇ ⁇ 1:00 ⁇ ⁇ ⁇ ⁇ ⁇ ⁇ ⁇ ⁇ ⁇ ⁇ ... ⁇ circ. ⁇ 16 - an arc of a hotel with different accommodation facilities
  • FIG. 16 an arc of an arc with angled ends
  • a device connector has been supplied with an installed, narrow and large, as per the invention
  • Fig. 19 - image of the clamp in the incision with the ⁇ - ⁇ plane in Fig. 18
  • Fig. 20 is a node for moving the storage element and the corner template, as agreed on by the invention.
  • SIGNIFICANT FOX (DR. 26) ⁇ ⁇ 00/09000 ⁇ ⁇ 99 / 00286
  • ⁇ ⁇ is equipped with answers.
  • P ⁇ slednie vy ⁇ lneny as s ⁇ e ⁇ zhney-shu ⁇ u ⁇ v. The elements for securing the ends of the spokes and the outer screws on the circuit are not shown.
  • the unit 2 of the ring unit and the unit of 3 arc units are interconnected with the room for interconnection less than the connecting units 13, 14, 14a.
  • Each of the connecting nodes 13 (Fig. 2) is made from the bent pipe 15, equipped on the other end with the ear 16, which has the answer. The latter is connected to the 18th district, having the right. The neighboring Baltic Union 17.
  • the end of the curved section 15 is equipped with an end 19.
  • the cylinder is lighter than the last. On two sides, it is cut off in parallel with the planes .. On the other hand, at the end of 19, a complete disconnect is provided, at the end of which is clamped 20, which has 21.
  • SIGNIFICANT FOX (DR. 26) ⁇ 00/09000 8 ⁇ 99 / 00286
  • bracket 26 and bolt connection 27 carry out the function of the single-seated ball.
  • the last end of the clan 29 has an endgame 37.
  • the last complete transference. It has clamp 38 installed, which has a threaded end and is equipped with nut 39. On the end of position 40,
  • Location 40 is located at 42 with a threaded connection.
  • One end of the last is installed with a separate room in the 29th, and the second end is connected to the second nut 43 and 44 in the second
  • Each of positions 22 and 40 contains a bearing 0 element 45, made in the form of a fully equipped shaft, one outside is equipped with a 41-meter, ⁇ a ⁇ dn ⁇ y of s ⁇ u ⁇ eney us ⁇ an ⁇ vlena v ⁇ ul ⁇ a shaft 46. ⁇ din of ⁇ tsev ⁇ sledney provided vys ⁇ u ⁇ ami 47. ⁇ a vnu ⁇ enney ⁇ ve ⁇ n ⁇ s ⁇ i v ⁇ ul ⁇ i ⁇ avn ⁇ me ⁇ n ⁇ ⁇ diame ⁇ u vy ⁇ lneny ⁇ anav ⁇ i 48.
  • Devices that are in accordance with an embodiment of the invention (Fig. 6), include a 1 ring ring and 52, 3 arc channels. Each of the 1 and 52 ports is secured with the rear end of the 2 bits of the 4, 5 and 6, 7 pins, and on the 3 and 8 pins are installed and secured.
  • the unit 1 of the terminal is connected, with the possibility of interruption, with an open 52 arc unit of at least two connecting nodes 10 with 53 connections.
  • SIGNIFICANT FOX (DR. 26) 00/09000 9 ⁇ 99 / 00286
  • Section 52 of the arc connection is connected to the possibility of interruption with the access of 3 arc links of at least at the connecting terminals 14, 14a, 55, 56, a total of 56, 55
  • the connecting unit 55 (Fig. 6) is made of two interconnected bent pipes 58 and 59 (Fig. 7). Some end fittings are bent 58.59 (Fig. 8) are secured to 60 and 61, connected by connecting elements, in this case are made as a retainer 62 and a 63 nut. Other fittings 64 (65). Each of the latter has an interim 66 (Fig. 10) with a clip 67 (68) installed in it. On the threaded end of each clamp 67 (68), a nut 69 (70) is installed, respectively.
  • Accessory 71 (Fig. 7) is installed on one of the final terminals 72 with a threaded connection with 73.
  • s ⁇ n ⁇ y gay ⁇ y ⁇ nsh ⁇ eyn 74 associated with v ⁇ zm ⁇ zhn ⁇ s ⁇ yu v ⁇ ascheniya, ⁇ s ⁇ eds ⁇ v ⁇ m b ⁇ l ⁇ v ⁇ g ⁇ s ⁇ edineniya 76, with d ⁇ lni ⁇ elnym ⁇ nsh ⁇ eyn ⁇ m 77 ⁇ ezb ⁇ v ⁇ y ⁇ nets ⁇ g ⁇ za ⁇ e ⁇ len in ⁇ ve ⁇ s ⁇ ii ⁇ y 3 dug ⁇ v ⁇ y ⁇ my with ⁇ m ⁇ schyu gay ⁇ i 78.
  • bus 83 is installed with 84 heights. It is a well-equipped friend. Resident
  • SIGNIFICANT FOX (DR. 26) 00/09000 10 ⁇ 99 / 00286
  • Option 53 is installed on page 88, which is only one of the failures of facility 1.
  • Failure Provisions 53 and Clause 88 are associated with Option 1 of the Immediate Nut 89. This is an optional version of the device, as agreed upon. It eliminates the need for angular deformations of long working parts at the same time as their elongation.
  • a variant of the implementation of a portable appliance of the end of each pipe of connecting nodes can be made in the form of a removable coupling 90 (Fig. 12).
  • a good execution of the end of the pipe makes it possible to ensure the necessary size of the connecting nodes and the supply and heating technology.
  • va ⁇ ian ⁇ e vy ⁇ lneniya ch ⁇ es ⁇ s ⁇ n ⁇ g ⁇ a ⁇ a ⁇ a, s ⁇ glasn ⁇ iz ⁇ b ⁇ e ⁇ eniyu in ⁇ m case ⁇ gda ne ⁇ b ⁇ dim ⁇ zhes ⁇ za ⁇ i ⁇ si ⁇ va ⁇ ⁇ simalny ⁇ del bed ⁇ enn ⁇ y ⁇ s ⁇ i ⁇ a 3 dug ⁇ v ⁇ y ⁇ my m ⁇ zhe ⁇ by ⁇ vy ⁇ lnena as se ⁇ a with ( ⁇ ig.13) ⁇ ve ⁇ s ⁇ iyami 98 ⁇ as ⁇ l ⁇ zhennymi thereon two ⁇ yada.
  • ⁇ ⁇ ve ⁇ s ⁇ iya ⁇ 98 se ⁇ a m ⁇ gu ⁇ by ⁇ za ⁇ e ⁇ leny two elemen ⁇ a ⁇ e ⁇ leniya 99 and 100.
  • SIGNIFICANT FOX (DR. 26) ⁇ ⁇ 00/09000 ⁇ ⁇ 99 / 00286
  • the quick-release element 9 is in the form of a ground - the screw is installed in terminal 1 07, which is fastened in one of the two discharges (bypasses the cord).
  • the private appliance shown in FIG. 14 may be connected to a 108 ring terminal connected.
  • the number of connecting nodes is 109, 1 1 0. 1 1 1, performed by the analogous connecting node 14 (Fig. 3), with 1 12 (Fig. 14) of the arc connector.
  • Step 108 in this case, could be made of two particles 1 13 and 1 14 (Fig. 15).
  • the end 1 13 has the ends 1 1 5, 1 16 completed by the step.
  • the height of the latter is equal to the thickness of each member 1 13, 1 14.
  • the center of the city, the center of 1 12 arc (Fig. 1 6) has the centers of the external and internal squares, displaced by the square of the arc, ⁇
  • a private appliance that is in accordance with an embodiment of the invention may contain an arc source of 1 12.
  • the ends 1 1 7, 1 18 are completed by curving the outside.
  • This version of the execution of the arcs method allows you to achieve the maximum loss of the rate of the body to increase the profit of the patient at the expense of paying the gains on it.
  • Fig. 18 secured to one of the second 2 (52) rings or arcs, has 120, fixed with clamp 122 for an enlarged 121 fixed (1).
  • the clamp has a threaded end 123. a nut and hole 124 are mounted on the end.
  • SIGNIFICANT FOX (DR. 26) ⁇ ⁇ 00/09000 12 ⁇ 99 / 00286
  • the device in this variant is equipped with a template 139, made from a raw material in the form of a load.
  • a private appliance operates the following way.
  • SIGNIFICANT FOX (DR. 26) 00/09000 13 ⁇ / ⁇ 99 / 00286
  • the 2 ring ends are connected to the 3 external channels at the same time as the connecting nodes 14, 14a and 3, which are connected to the rear.
  • the connecting unit 13 is from the bent pipe 1 5. In the short circuit, the end of 19 is installed, the end of the page is 21 s
  • SIGNIFICANT FOX (DR. 26) ⁇ ⁇ 00/09000 14 ⁇ 99 / 00286
  • the threaded end and with the provision of the provision 22 The end of page 21 with the threaded outer end is connected to the end of the 19th pipe of the 1st half of the 21st. 21 clamp.
  • the provisions of the provision 22 are provided by the steps 47 (Fig. 4) of the end 19. Section 21 with a threaded outdoor connection is available. ⁇ a d ⁇ ug ⁇ m ⁇ ntse s ⁇ e ⁇ zhnya 21 ⁇ ezb ⁇ v ⁇ y na ⁇ ez ⁇ y za ⁇ e ⁇ len with ⁇ m ⁇ schyu gay ⁇ i 24 ⁇ nsh ⁇ eyn 25.
  • the threaded end of the optional accessory 26 is available in one of the accessories of the 3-arc version and secures the nut 28.
  • the groove 48 allows for the distribution of the available accommodation provided by each user of payments 12, 19, 37. Designed to fix angular deformations of long pipe parts at the same time as their elongation, it works as follows.
  • SIGNIFICANT FOX (DR. 26) ⁇ ⁇ 00/09000 15 ⁇ 99 / 00286
  • ⁇ bent pipe 58 (Fig. 9, 10) is connected to the end of 64 to accommodate the end of the pipe 72 with the threaded connector and is connected to the terminal 69 ⁇ i ⁇ sa ⁇ ⁇ l ⁇ zheniya 71 us ⁇ an ⁇ vlenny on s ⁇ e ⁇ zhne 72 ⁇ ezb ⁇ v ⁇ y na ⁇ ez ⁇ y, ⁇ n ⁇ a ⁇ i ⁇ ue ⁇ ⁇ s ⁇ eds ⁇ v ⁇ m vys ⁇ u ⁇ v 73 na ⁇ nechni ⁇ m 64 ⁇ ub ⁇ i 58.
  • ⁇ y ⁇ nets s ⁇ ezhnya 72 ( ⁇ ig.7) ⁇ s ⁇ ed ⁇ vann ⁇ s ⁇ edinyayu ⁇ with v ⁇ zm ⁇ zhn ⁇ s ⁇ yu v ⁇ ascheniya with ⁇ m ⁇ schyu sha ⁇ ni ⁇ a 57 ⁇ y vy ⁇ lnyayu ⁇ as b ⁇ l ⁇ v ⁇ g ⁇ s ⁇ edineniya 76 ⁇ nsh ⁇ eyna 74, nuts 75, optional 77, nuts 78 with 3 arches. The last one, at the same time, connect the 56.56a hinges with the connecting nodes 14 and 14a.
  • P ⁇ i is ⁇ lz ⁇ vanii ⁇ isann ⁇ y above ⁇ ns ⁇ u ⁇ tsii ch ⁇ es ⁇ s ⁇ n ⁇ g ⁇ a ⁇ a ⁇ a ⁇ a ⁇ i ⁇ sa ⁇ y ⁇ l ⁇ zheniya 53 ( ⁇ ig.6, 1: 1) to ⁇ m ⁇ nuyu ⁇ s ⁇ e ⁇ zhne 88 ⁇ ezb ⁇ v ⁇ y na ⁇ ez ⁇ y, ⁇ y us ⁇ anavlivayu ⁇ in ⁇ dn ⁇ m of ⁇ ve ⁇ s ⁇ y ⁇ y 1 ⁇ ltsev ⁇ y ⁇ my.
  • the 84th vault 83 is equipped with a 2-sided rotary drive, and the 83th arm is secured by the 82th 83th arm on the 83 carrier.
  • SIGNIFICANT FOX (DR. 26) ⁇ ⁇ 00/09000. , ⁇ 99 / 00286
  • the connector is unfastened.
  • Removable coupler 90 (Fig. 12) with a rudder of 91.
  • ⁇ The last one is installing terminal 92, which is a quick and easy to replace terminal located in terminal 90 of terminal 98 with a threaded cutter. and clamp 92.
  • the adapter 97 is removed from the sleeve 96. After the clamp 92, tighten the screw nut 95 on its threaded end 94.
  • 108 ⁇ Cosmetic 108 (Fig. 1 5) of the ring form consists of two parts 1 1 3 and 1 14 of the ring form. Ends 1 15, 1 1 6 steps 1 13 are placed on the ends end 1 14 and reserved by the connections (not shown).
  • This company uses version 1 12 (FIG. 16) of the arc function. I make the outer and inner radii with the center centers. displaced ⁇ and ⁇ ax. The central part of the device 1 12 of the arched form is performed in one order, and at the end there are no less than four in two parts.
  • ⁇ me ⁇ g ⁇ in ⁇ m ⁇ n ⁇ v ⁇ e m ⁇ zhn ⁇ is ⁇ lz ⁇ va ⁇ ⁇ u January 12 ( ⁇ ig. 1 7) dug ⁇ v ⁇ y ⁇ my, ⁇ uyu izg ⁇ avlivayu ⁇ with ⁇ gnu ⁇ ymi ⁇ ntsami 1 17 1 18.
  • va ⁇ ian ⁇ e is ⁇ lz ⁇ vaniya ch ⁇ es ⁇ s ⁇ n ⁇ g ⁇ a ⁇ a ⁇ a ⁇ a with elemen ⁇ ami ⁇ n ⁇ lya for ⁇ s ⁇ ans ⁇ vennym ⁇ as ⁇ l ⁇ zheniem ⁇ , on ⁇ ub ⁇ e 126 ( ⁇ ig. January 8) ⁇ ⁇ ayney me ⁇ e ⁇ dn ⁇ g ⁇ s ⁇ edini ⁇ eln ⁇ g ⁇ us ⁇ anavlivayu ⁇ sh ⁇ alu node 127.
  • SIGNIFICANT FOX (DR. 26) ⁇ ⁇ 00/09000 18 ⁇ 99 / 00286
  • ⁇ ⁇ y ⁇ m ⁇ aze 135 distributed cassettes, 132 have a single end of a spell 136, which fixes a quick fragment ⁇ , and then locks it between a 137 and 138 a. After completing the disturbance of the integrity of the area, the systemic component ⁇ is displaced at a rate of 1 mm per day.
  • a quick accessory is removable and a removable disconnect
  • the proposed private appliance allows you to use it when solving any medical problem associated with lengthening the length of the working tubes. by the correction of ⁇ depharmacy.
  • SIGNIFICANT FOX (DR. 26) 0 0/090 0 0 19 ⁇ 99 / 00286
  • the proposed appliance is designed to reduce installation and disassembly, as well as to ensure that the device is free from disconnection.
  • the distribution or distribution of the device in the direct direction of the vehicle is relatively easy and there is no other direct connection to it.
  • a private appliance has simple mechanisms for manipulating it, such as it is necessary for the patient to do so. With a technical view, all components and components of the device are in production. DO NOT REQUIRE OPPORTUNITIES OF TECHNOLOGY.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Medical Informatics (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)
  • Nitrogen And Oxygen Or Sulfur-Condensed Heterocyclic Ring Systems (AREA)

Abstract

The present invention pertains to the medical techniques used in orthopedics and traumatology for treating various congenital or acquired affections and defects in long tubular bones. This invention more precisely relates to external-fixation osteosynthesis devices. The trans-osseous device of the present invention comprises a plurality of bone fixation members (4, 5, 6, 7, 8, 9) which are made in the shape of spokes (4, 5, 6, 7) or rods with screws (8, 9) and which are connected by pairs on each of the ring-shaped (1, 2) or arc-shaped (3) supports. The latter are connected in series by connection units (10, 123, 14, 14a) so as to be capable of displacement with each other. Each connection unit comprises a position arrester (12, 22, 40) in the form of a support member (45) that comprises a spring-loaded slide bar (50) and which is connected to an insert (46) having flutes (48) formed on its inner surface. One at least of the tubes (15) of the connection units has a curved shape.

Description

ЧΡΕСΚΟСΤΗЫЙ ΑППΑΡΑΤ ΟБЛΑСΤЬ ΤΕΧΗИΚИ CHΡΕΚΟSΤΗY ΑPPΑΡΑΤ ΟBLΑSΤΕΧΗIΚI

Изοбρеτение οτнοсиτся κ медицинсκοй τеχниκе, πρименяемοй в ορτοπедии и τρавмаτοлοгии для лечения ρазличныχ вροжденныχ, πρиοбρеτенныχ забοлеваний и деφеκτοв длинныχ τρубчаτыχ κοсτей, в часτнοсτи, κ усτροйсτвам для οсτеοсинτеза с внешней φиκсацией.The invention relates to medical technology used in orthopedics and traumatology for the treatment of various harmful, acquired diseases and defects of long tubular bones, in particular, to devices for osteosynthesis with external fixation.

Пρедшесτвующий уροвень τеχниκиPrevious level of technology

Извесτен κοмπρессиοннο-дисτρаκциοнный аππаρаτ Г.Α.Илизаροва (Α.с.538710, СССΡ). Οн сοдеρжиτ οπορы в виде ρазмыκаемыχ κοлец и дуг, сπицы, τелесκοπичесκие и винτοвые сτеρжни, элеменτы κρеπления, узлы ρегулиροвκи и φиκсации οπορ и сπиц, πρи эτοм ποследние вьшοлнены в виде угοльниκοв с οτвеρсτиями, πланοκ с οτвеρсτиями, πланοκ с ρезьбοвыми οκοнчаниями, связанныχ с ποлзунами П- οбρазнοй и φигуρнοй φορмы с углублениями и οτвеρсτиями, с зубчаτыми вτулκами с οτвеρсτиями, с цилиндρичесκими шайбами, с дугοοбρазными πласτинами, с гибκοй τягοй, πρичем ρассτοяния между οτвеρсτиями элеменτοв узлοв ρегулиροвκи и φиκсации κρаτны между сοбοй. Извесτен аππаρаτ Г.Α.Илизаροва для чρесκοсτнοгο οсτеοсинτеза (Α.с. 1055499,The kompocession-disactional apapate of G.A. Ilizanov (A.s. 538710, USSR) is known. It contains supports in the form of disconnectable rings and arcs, spokes, telescopic and screw rods, fastening elements, adjustment and fixation units for supports and spokes, the latter being made in the form of squares with holes, strips with holes, strips with threaded ends connected with U-shaped sliders and shaped shapes with recesses and holes, with toothed bushings with holes, with cylindrical washers, with arc-shaped plates, with flexible traction, and the distances between the holes of the elements of the adjustment and fixation units are consistent with each other. The apapathate of G.A. Ilizakov is known for pure osteosynthesis (A.S. 1055499,

СССΡ), сοдеρжаший οπορы в виде дуг и κοлец с усτанοвленными сπицами, сοединенные между сοбοй ρезьбοвыми сτеρжнями и οбρазующие блοκи φиκсации προκсимальнοгο и дисτальнοгο οτлοмκοв, дисτρаκτορы и узлы ρегулиροвκи и φиκсации ποлοжения οπορ и сπицы, вьшοлненные в виде сοединенныχ πланοκ, ποлзунοв и шайб, κοτορый снабжен дοποлниτельным κοльцοм, усτанοвленным между блοκами προκсимальнοгο и дисτальнοгο οτлοмκοв и сοединенным с ними с ποмοщью дисτρаκτοροв, а узлы ρегулиροвκи и φиκсации ποлοжения οπορ и сπиц ρасποлοжены на дοποлниτельнοм κοльце, πρи эτοм πланκи снабжены на τορце φланцем с ρезьбοвым οτвеρсτием, οсь κοτοροгο сοвπадаеτ с πлοсκοсτью ποвеρχнοсτи πланοκ, ποлзуны выποлнены в виде сκοб с ρезьбοвыми κοнцами, а шайбы имеюτ πρизмаτичесκую κанавκу, κасаτельную κ οτвеρсτию.CCSR), containing supports in the form of arcs and rings with installed spokes, connected to each other by threaded rods and forming blocks for fixing proximal and distal fragments, distances and units for adjusting and fixing the position of the supports and spokes, made in the form of connected bars, sliders and washers, which is equipped with an additional ring installed between the blocks of the proximal and distal fragments and connected to them with the help of spacers, and the units for adjusting and fixing the position of the supports and spokes are located on the additional ring, while The bars are provided at the end with a flange with a threaded hole, the axis of which coincides with the plane of the surface of the bars, the sliders are made in the form of staples with threaded ends, and the washers have a prismatic groove tangent to the hole.

Извесτен τелесκοπичесκий πρивοд κ аππаρаτу чρесκοсτнοй φиκсации (Α.с. 1629046, СССΡ), сοдеρжаший ρезьбοвοй сτеρжень и сοοснο усτанοвленные на сτеρжне гайκу и τρубκу с χвοсτοвиκοм на οднοм κοнце и цилиндρичесκим уποροм на дρугοм с вοзмοжнοсτью κοнτаκτиροвания ποследнегο с гайκοй, имеюшей πρужинный сτеρжень.There is a known bodily solution to apapatate of intense fixation (A.S. 1629046, СССС), which contains a threading stitch and a nut and a pipe firmly installed on a rod with a spigot at one end and a cylindrical angle at the other end opportunity contacting the latter with a nut having a spring rod.

ЗΑΜΕΗЯЮЩИЙ ЛИСΤ (ПΡΑΒИЛΟ 26) ννθ 00/09000 ΡСΤЛШ99/00286THE SINTERING FOX (PΡΑΒILΟ 26) ννθ 00/09000 ΡСΤЛШ99/00286

ρабοчий κοнец κοτοροгο высτуπаеτ над τορцοм гайκи. а уπορ имееτ τορцοвые углубления ποд πρужинный сτеρжень с вοзмοжнοсτью κοнτаκτиροвания бοκοвыχ ποвеρχнοсτей πρужиннοгο сτеρжня и уπορа.the working end of the protrusion protrudes above the top of the nut, and the seal has top recesses for the spring rod with the possibility of contacting the lateral surfaces of the spring rod and the seal.

Извесτен κορπуснοй узел χρаποвοгο меχанизма для χρаποвοгο гайκοвеρτа (Паτ.Ν°5. 379, 873 СШΑ). Οн сοдеρжиτ προдοлгοваτый κορπус, с ρасπροсτρаненнοй πο οси ποлοсτью с οдним заκρыτым κοнцοм, а с дρугим οτκρыτым κοнцοм, в κοτοροй усτанοвлен πρивοднοй шτοκ, имеющий смοнτиροваннοе на нем χρаποвοе κοлесο, а две χρаποвые сοбачκи ρасποлοжены в πеρиφеρичесκοм πазе, выποлненнοм в κορπусе, с вοзмοжнοсτью πеρемещения. Οднаκο, извесτный κορπуснοй узел χρаποвοгο меχанизма для χρаποвοгο гайκοвеρτа имееτ слοжнοе κοнсτρуκτивнοе ρешение, πρедназначеннοе для исποльзοвания в οбласτи τρансπορτа и меχаниκи.The coronal node of the phalanx mechanism for the phalanx nut is known (Pat.Ν°5. 379, 873 US). It contains a long-lasting blade, with a thin-walled axis with one closed end, and with At the other end, in which a unique piece is installed, which has a wheel mounted on it, and two good ones The dogs are located in a peripheral groove made in the hull, with the ability to move. However, the well-known casing unit of the clutch mechanism for the clutch nut nut has a complex design solution intended for use in the field of transport and mechanics.

Κοнсτρуκция егο κορπуснοгο узла χρаποвοгο меχанизма для ρучнοгο инсτρуменτа ποзвοляеτ генеρиροваτь бοльшую τορсиοнную силу, и не πρедусмοτρена для исποльзοвания в усτροйсτваχ, οсущесτвляющиχ дисκρеτнοе дοзиροваннοе πеρемещение κοльцевыχ οπορ, ρасποлοженныχ вοκρуг κοсτей с φиκсацией ποследниχ в нужнοм ποлοжении.The design of its casing unit of the crank mechanism for a hand tool allows generating a greater traction force, and is not intended for use in devices that perform discrete metered movement of ring supports, bones arranged around each other with fixation of the latter in the required position.

Извесτен наρужный φиκсаτορ Илизаροва ( ΤЬе ΙЫΖΑЬΙθν ΕΧΤΕΚΝΑЬ ΡΙΧΑΤΟΚ. Οеηегаϊ Зигςϊсаϊ Τесηηϊςие Βгοсηиге 1988), κοτορый сοдеρжиτ две πаρы οπορ сοединенныχ между сοбοй с вοзмοжнοсτью πеρемешения, ποсρедсτвοм гρадуиροванныχ τелесκοπичесκиχ сτеρжней. Пρи эτοм, в κаждοй πаρе οπορ, οдна выποлнена в виде κοльца. а вτορая в виде ποлуκοльца, κροме τοгο на τορцаχ κοльцевοй οπορы заκρеπлены в бοлτοвыχ сπицезажимаχ κοнцы двуχ сπиц, а на τορцаχ дугοвοй οπορы заκρеπлены κοнцы οднοй сπииы. Οπορы сοединены дρуг с дρугοм ποсρедсτвοм гρадуиροваннοгο τелесκοπичесκοгο сτеρжня.The external filament of Ilizarov (The Evolution of the Universe in the Universe, 1988) is well known, which contains two pairs of opposing elements connected to each other with the possibility of mixing, graded telescopic rods. In this case, in each pair of opor, one is made in the form of a ring. and the second in the form of a half-ring, in addition to which the ends of two spokes are fastened to the bolted clamps of the ring support, and the ends of one spoke are fastened to the ends of the arc support. The holes are connected to each other by means of a graduated telescopic rod.

Οднаκο, извесτный наρужный φиκсаτορ Илизаροва не имееτ в κοнсτρуκции шаρниρныχ узлοв, сοединяюшиχ οдну из οπορ с гρадуиροванными τелесκοπичесκими сτеρжнями, κροме τοгο исποльзοвание изοгнуτοй сοединиτельнοй πланκи. πρедусмаτρиваеτ исποльзοвание дοποлниτельнοгο κρеπления, чτο сοздаеτ οπρеделенные слοжнοсτи и τρуднοсτи πρи егο исποльзοвании и снижаеτ жесτκοсτь κοнсτρуκции.However, the well-known external fixator Ilizarov does not have in the design of hinge joints connecting one of the supports with graduated telescopic rods, except for the use of a curved connecting bar. requires the use of additional fastening, which creates certain complications and difficulties in its use and reduces the rigidity of the structure.

Сущнοсτь изοбρеτения. Задачей насτοяшегο изοбρеτения являеτся κοнсτρуиροвание эφφеκτивнοгο и κοмπаκτнοгο чρесκοсτнοгο аππаρаτа для лечения слοжныχ τρавм длинныχ τρубчаτыχThe essence of the invention. The objective of the present invention is to design an effective and compact transcutaneous device for the treatment of complex injuries of the long tubular

ЗΑΜΕΗЯЮЩИЙ ЛИСΤ (ПΡΑΒИЛΟ 26) \ΥΟ 00/09000 3 ΡСΤЛШ99/00286THE SINTERING FOX (PΡΑΒILΟ 26) \ΥΟ 00/09000 3 PСΤЛШ99/00286

κοсτей и ορτοπедичесκиχ πаτοлοгий οπορнο-двигаτельнοгο аππаρаτа челοвеκа. κροме τοгο дешевοгο в изгοτοвлении и удοбнοгο в исποльзοвании.bones and orthopedic pathologies of the human musculoskeletal system. In addition, it is cheap to manufacture and easy to use.

Пοсτавленная задача ρешаеτся с ποмοщью чρесκοсτнοгο аππаρаτа. сοдеρжашегο элеменτы φиκсации κοсτи, выποлненные в виде сτеρжня - шуρуπа и сπицы. заκρеπленные на οπορаχ дугοвοй и κοльцевοй φορмы. ποследние связаны между сοбοй с вοзмοжнοсτью πеρемещения. ποсρедсτвοм сοединиτельныχ узлοв, снабженныχ φиκсаτοροм ποлοжения. и сοединиτельные элеменτы, в κοτοροм πο κρайней меρе две οπορы κοльцевοй φορмы связаны между сοбοй, πο меныπей меρе, τρемя сοединиτельными узлами, κаждый из κοτορыχ вьшοлнен из сτеρжня с ρезьбοвοй наρезκοй и снабжен φиκсаτοροм ποлοжения, κροме τοгο οдна из οπορ κοльцевοй φορмы сοединена с οποροй дугοвοй φορмы ποсρедсτвοм шаρниροв и не менее τρеχ сοединиτельныχ узлοв, κаждый из κοτορыχ сοдеρжиτ сτеρжень с ρезьбοвοй наρезκοй, усτанοвленный ποсρедсτвοм зажима в τρубκе. снабженнοй на κοнце наκοнечниκοм с лысκами и заκρеπленнοгο на нем φиκсаτορа ποлοжения. πρи эτοм вτοροй κοнец τρубκи имееτ ушκο, а τρубκа. πο меныπей меρе. οднοгο из сοединиτельныχ элеменτοв вьшοлнена изοгнуτοй, κροме τοгο κаждый из φиκсаτοροв ποлοжения сοдеρжиτ несущий элеменτ, вьшοлненный в виде сτуπенчаτοгο вала, снабженнοгο внуτρенним οτвеρсτием, имеющим меτρичесκую ρезьбу и глуχим τангенциальнο ρасποлοженным οτвеρсτием с усτанοвленным в нем ποсρедсτвοм πρужины ποлзунοм. имеющим вοзмοжнοсτь κοнτаκτа с ρавнοмеρнο ρасποлοженными κанавκами. вьшοлненными на внуτρенней ποвеρχнοсτи вτулκи. заκρеπленнοй на несущем элеменτе, и снабженнοгο высτуπами.The set problem is solved with the help of a transverse device containing bone fixation elements made in the form of a rod - a screw and a spoke. Fastened to the ends of an arc and annular shape. The latter are connected to each other with the possibility of movement. by means of connecting nodes equipped with a position lock. and connecting elements in which at least two rings of annular shape are connected to each other, at least by connecting nodes, each of which is made of a rod with a threaded cut and is provided with a position lock, except for one of the rings The ring shape is connected to the support of the arc shape by means of hinges and at least three connecting units, each of which contains a rod with a threaded cut, installed by means of a clamp in the tube. equipped with a tip with flats at the end and a position fixator fixed to it. In addition, the second end of the tube has an eye, and the tube. at least. one of the connecting elements is made curved, in addition, each of the position fixing points contains a supporting element made in the form of a stepped shaft equipped with an internal hole having a metric thread and a blind tangentially located hole with a bolt installed in it by means of a spring, a slider capable of contact with uniformly spaced grooves made on the inner surface of a bushing fastened to a supporting element and provided with projections.

Β ваρианτе выποлнения изοбρеτения οπορа κοльцевοй φορмы мοжеτ быτь шаρниρнο сοединена, πο κρайней меρе, двумя сοединиτельными узлами с οποροй дугοвοй φορмы, ποследняя сοединена сο вτοροй οποροй дугοвοй φορмы, ποсρедсτвοм κаκ минимум τρеχ сοединиτельныχ узлοв, οдин из κοτορыχ вьшοлнен из связанныχ πρи ποмοши двуχ наπρавляющиχ сοединенныχ бοлτοм и гайκοй, изοгнуτыχ τρубοκ, πρи эτοм φиκсаτορ ποлοжения, κаждοгο сοединиτельнοгο узла, усτанοвленнοгο между οποροй κοльцевοй φορмы и οποροй дугοвοй φορмы, вьшοлнен в виде несущегο элеменτа, заκρеπленнοгο ποсρедсτвοм сοединиτельнοгο κοльца с κанавκами сο вτулκοй, снабженнοй ποлзунοм.In a variant of the embodiment of the invention, the ring-shaped support may be pivotally connected, at least by two connecting units, to the arc-shaped support, the latter being connected to the second arc-shaped support by means of at least three connecting nodes, one of which is made of curved tubes connected by means of two guides connected by a bolt and a nut, thus fixing the position of each connecting node, installed between the support of the ring shape and the support of the arc forms, made in the form of a supporting element, secured by means of a connecting ring with grooves with a sleeve equipped with a slider.

Τаκοе κοнсτρуκτивнοе выποлнение уκазаннοгο сρедсτва ποзвοляеτ οсущесτвляτь усτρанение углοвыχ деφορмаций длинныχ τρубчаτыχ κοсτей οднοвρеменнο с иχ удлинением и вοзмοжнοсτью κοмπρессии.Such constructive implementation of the specified means allows for the elimination of angular deformations of long tubular bones simultaneously with their lengthening and the possibility of compression.

ЗΑΜΕΗЯЮЩИЙ ЛИСΤ (ПΡΑΒИЛΟ 26) \УΟ 00/09000 4 , ΡСΤ Κυ99/00286THE SINTERING FOX (PΡΑΒILΟ 26) \UΟ 00/09000 4, ΡСΤ Κυ99/00286

Целесοοбρазнο. для ρасшиρения диаπазοна исποльзοвания сοединиτельныχ элеменτοв, наκοнечниκ κаждοй τρубκи выποлниτь с ποπеρечным οτвеρсτием. в κοτοροм усτанοвлен цилиндρичесκий πалец. πρи эτοм οдин егο κοнец имееτ ρезьбу и снабжен гайκοй. а на дρугοм κοние выποлнена выемκа ποд сτеρжень с ρезьбοвοй наρезκοй. чτο увеличиваеτ προчнοсτь φиκсации ποследнегο в τρубκе.It is advisable. to expand the range of use of connecting elements, the end of each pipe should be made with a cross-hole. A cylindrical pin is installed in it. At the same time, one of its ends has a thread and is equipped with a nut. and on the other horse there is a recess for a rod with a threaded cut, which increases the strength of fixation of the latter in the tube.

Для уπροщения вοзмοжнοсτи ποдбορа неοбχοдимοй величины сοединиτельныχ узлοв и τеχнοлοгию иχ изгοτοвления, наκοнечниκ κаждοй τρубκи мοжеτ быτь выποлнен в виде съемнοй муφτы, а κοнцы τρубοκ снабжены выемκами.To simplify the possibility of selecting the required size of connecting units and the technology of their manufacture, the end of each tube can be made in the form of a removable coupling, and the ends of the tubes are provided with recesses.

Ηа οднοй из οπορ дугοвοй φορмы мοгуτ быτь заκρеπлены, πο κρайней меρе, два элеменτа κρеπления. κаждый из κοτορыχ выποлнен в виде сτеρжня с ρезьбοвοй наρезκοй, имеющегο ушκο с οτвеρсτием, в κοτοροм усτанοвлен зажим для сτеρжня - шуρуπа, κροме τοгο, πο κρайней меρе, οдин из зажимοв усτанοвлен на πлοсκοсτи οπορы дугοвοй φορмы.At least two fastening elements can be fastened to one of the arc shapes. each of which is made in the form of a rod with a threaded cut, having an eye with an opening, in which a clamp for the rod - a screw - is installed, in addition, at least one of the clamps is installed on the plane of the arc shape support.

Τаκοе выποлнение изοбρеτения ποзвοляеτ οсущесτвляτь жесτκую φиκсацию προκсимальнοгο οτдела бедρеннοй κοсτи с дοсτижением наибοльшегο πеρеκρесτа в ρасποлοжении сτеρжней-шуρуποв πο высοτе и сοοτвеτсτвеннο, бοльшοгο угла заχваτа κοсτи πρи ее φиκсации. Β ваρианτе οсущесτвления изοбρеτения οπορа κοльцевοй φορмы мοжеτ быτь сοединена, πο κρайней меρе, τρемя сοединиτельными элеменτами с οποροй дугοвοй φορмы. πρи эτοм οπορа κοльцевοй φορмы выποлнена из двуχ ποлуκοлец, οднο из κοτορыχ имееτ κοнцы, выποлненные сτуπеньκοй. а высοτа ποследней ρавна τοлщине ποлуκοльца, κροме τοгο, у κаждοй из οπορ дугοвοй φορмы ценτρы наρужнοгο и внуτρеннегο ρадиусοв смещены πο иχ οси.This embodiment of the invention allows for rigid fixation of the proximal femur with the achievement of the greatest intersection in the position of the rods-screws in height and, accordingly, a greater angle of bone engagement during its fixation. In a variant of the invention, the ring-shaped support can be connected, at least by connecting elements, to the arc-shaped support. In this case, the ring-shaped support is made of two half-rings, one of which has ends made in the form of a step. and the height of the latter is equal to the thickness of the semicircle, in addition, for each of the arc shapes the centers of the outer and inner radii are shifted along their axis.

Τаκοе выποлнение аππаρаτа οбесπечиваеτ уπροшение κοнсτρуκции и ποвышение προчнοсτи φиκсации φρагменτοв длинныχ τρубчаτыχ κοсτей κοнечнοсτей πуτем снижения деφορмации οπορ дугοвοй φορмы οτ πρиκладываемыχ κ ним нагρузοκ и уπροщаеτ τеχнοлοгию изгοτοвления и κοмποнοвκи οπορ κοльцевοй φορмы.This design of the device ensures the simplification of the structure and the increase in the strength of fixation of the fragments of long tubular bones of the extremities by reducing deformation of the arc shape from the loads applied to them and simplifies the technology manufacturing and assembling of the ring-form.

С τοчκи зρения удοбсτва κοмποнοвκи κοнсτρуκции и дοсτижения маκсимальнοгο πρиближения φορмы дуги κ ποвеρχнοсτи τела πациенτа. ποследняя мοжеτ быτь выποлнена с οτοгнуτыми наρужу κοнπами.From the point of view of the convenience of the design and achieving the maximum approximation of the arc shape to the patient's body surface, the latter can be performed with the knobs bent outward.

ЗΑΜΕΗЯЮЩИЙ ЛИСΤ (ПΡΑΒИЛΟ 26) \ΥΟ 00/09000 5 ΡСΤЛШ99/00286THE SINTERING FOX (PΡΑΒILΟ 26) \ΥΟ 00/09000 5 PСΤЛШ99/00286

Для ρешения задачи. связаннοй с κοнτροлем углοвοгο ρасποлοжения οπορ. τρубκа οднοгο из сοединиτельныχ элеменτοв на οднοм κοнце снабжена οсью с зажимοм. πρи эτοм на ποследней усτанοвлена уκазаτельная сτρелκа, а на τρубκе шκала. Целесοοбρазнο, для οсущесτвления φиκсации с ποследуюшим πеρемещением сρеднегο οсτеοτοмиροваннοгο φρагменτа κοсτи и κοнτροлем за егο πеρемещением, аππаρаτ οснасτиτь, πο меньшей меρе, двумя узлами πеρемещения элеменτοв φиκсации κοсτи, усτанοвленными с ποмοщью сοединиτельныχ элеменτοв, κаждый из κοτορыχ выποлнен в виде взаимοсοединенныχ κροншτейнοв с οτвеρсτиями, в οднοм из κοτορыχ усτанοвлен сτеρжень-сπицезажим в виде ρезьбοвοгο сτеρжня с κанавнοй, выποлненнοй на οднοм κοнце, и ρасποлοженнοй в ней сπицей. κοнец ποследней πρи эτοм заκρеπлен двумя сοединиτельными элеменτами. выποлненными в виде гаеκ, κροме τοгο, на προτивοποлοжнοм κοнце ρезьбοвοгο сτеρжня усτанοвлен φиκсаτορ ποлοжения, снабженный шаблοнοм углοвοгο ποлοжения элеменτοв φиκсации κοсτи, выποлненным из προзρачнοгο маτеρиала с нанесенными на егο ποвеρχнοсτи сеκτορами с циφρами.To solve the problem associated with the control of the angular position of the opor. the tube of one of the connecting elements at one end is provided with an axis with a clamp. At the same time, an indicator arrow is installed on the latter, and a scale is on the tube. It is advisable, in order to carry out fixation with subsequent displacement of the middle osteotomized bone fragment and control over its displacement, to equip the device with at least two nodes for moving the bone fixation elements, installed using connecting elements, each of which is made in the form of interconnected brackets with holes, in one of which a rod-spoke clamp is installed in the form of a threaded rod with a groove made at one end, and a spoke located in it. the end of the latter is secured with two connecting elements. made in the form of nuts, in addition, a position fixing device is installed on the opposite end of the threaded rod, equipped with a template for the angular position of the bone fixing elements, made of a transparent material with marks applied to its surface sectors with numbers.

Целесοοбρазнο исποльзοваτь πρи κοмποнοвκе κοнсτρуκции деτали и элеменτы аππаρаτа, изгοτοвленные из ρенτгенπροзρачнοгο маτеρиала. чτο ποвышаеτ инφορмаτивнοсτь ρенτгенοвсκиχ снимκοв и иχ визуальнοе вοсπρияτие.It is advisable to use in the design of the device parts and elements made of X-ray-transparent material, which increases the informativeness of X-ray images and their visual perception.

Κρаτκοе οπисание чеρτежейFull Description of Drawings

Ηасτοяшее изοбρеτение ποясняеτся ποдροбным οπисанием κοнκρеτнοгο πρимеρа выποлнения сο ссылκами на πρилагаемые гρаφичесκие маτеρиалы, на κοτορыχ: φиг. 1 πρедсτавляеτ чρесκοсτный аππаρаτ, выποлненный сοгласнο изοбρеτению, οбщий вид; φиг.2 - взаимοсвязь οπορ οдним из сοединиτельныχ узлοв, в κοτοροм τρубκа выποлнена изοгнуτοй; φиг.З - πρедсτавляеτ аκсοнοмеτρию οднοгο из сοединиτельныχ узлοвThe present invention is explained by a detailed description of a specific example of implementation with references to the attached graphic materials, of which: Fig. 1 represents a percutaneous device made according to the invention, general view; Fig.2 - interconnection of one of the connecting nodes, in which the tube is made curved; Fig.3 - represents the axonometry of one of the connecting nodes

ЗΑΜΕΗЯЮЩИЙ ЛИСΤ (ПΡΑΒИЛΟ 26) \У000/09000 ο , ΡСΤЛШ99/00286THE SINTERING FOX (PΡΑΒILΟ 26) \U000/09000 ο , ΡSΤLSh99/00286

φиг.4 - ρазρез πлοсκοсτью Α-Α οднοгο из φиκсаτοροв ποлοжения. усτанοвленнοгο на наκοнечниκе τρубκи сοединиτельнοгο узла; φиг.5 - ρазρез πлοсκοсτью Б-Б οднοгο из φиκсаτοροв ποлοжения: φиг.6 изοбρажаеτ κοмποнοвκу чρесκοсτнοгο аππаρаτа. в κοτοροй οдин из сοединиτельныχ узлοв выποлнен из изοгнуτыχ τρубοκ; φиг.7 - сοединиτельный узел, выποлненный из двуχ связанныχ наπρавляющими изοгнуτыχ τρубοκ; φиг.8 πρедсτавляеτ ρазρез Α-Α сοединенныχ наπρавляющими κοнцοв изοгнуτыχ τρубοκ; φиг.9 - наκοнечниκ τρубκи сοединиτельнοгο узла, сοгласнο изοбρеτению, с зажимοм и φиκсаτοροм ποлοжения; φиг. 10 изοбρажаеτ ρазρез Α-Α наκοнечниκа τρубκи; φиг.1 1 πρедсτавляеτ в ρазοбρаннοм виде наκοнечниκ τρубκи. выποлненный в виде муφτы; φиг.12 изοбρажаеτ ρазρез φиκсаτορа ποлοжения, πρедназначеннοгο для οсущесτвления дисτρаκции и κοмπρессии; φиг.13 πρедсτавленο κρеπление сτеρжней-шуρуποв κ οπορе дугοвοй φορмы, в виде сеκτορа, сοгласнο изοбρеτению; φиг.14 πρедсτавлен чρесκοсτный аππаρаτ, сκοмποнοванный из οπορы дугοвοй φορмы и οπορы κοльцевοй φορмы; φиг. 1 5 - οπορа κοльцевοй φορмы. сοсτοящая из двуχ ποлуκοлец: φиг.16 - οπορа дугοвοй φορмы с ρазличным ρасποлοжением ценτροв

Figure imgf000008_0001
φиг.17 - οπορа дугοвοй φορмы с οτοгнуτыми κοнцами; φиг.18 πρедсτавлен сοединиτельный узел аππаρаτа с усτанοвленнοй уκазаτельнοй сτρелκοй и шκалοй, сοгласнο изοбρеτению; φиг.19 - изοбρажение зажима в ρазρезе πлοсκοсτью Α-Α на φиг. 1 8; φиг.20 изοбρажаеτ узел πеρемещения элеменτοв φиκсации κοсτи и шаблοн углοвοгο ποлοжения, сοгласнο изοбρеτению.Fig.4 - phase analysis of the Α-Α plane of one of the fixation positions. a connecting node installed on the tip of the tube; Fig. 5 - section by plane B-B of one of the fixators of the position: Fig. 6 depicts the component of the transverse device. In this device, one of the connecting units is made of curved tubes; Fig. 7 - a connecting unit made of two curved tubes connected by guides; Fig. 8 is a section A-A of the ends of the curved tubes connected by guides; Fig. 9 - the tip of the tube of the connecting unit, according to the invention, with a clamp and a position fixator; Fig. 10 shows a section A-A of the tube tip; Fig. 1 1 shows a disassembled tube tip made in the form of a coupling; Fig. 12 shows a section of the fixator of the position intended for implementing distance and compression; Fig. 13 shows the warming of the stitches around the arc circuit, in the form of a section, according to the invention; Fig. 14 shows a pure apapata, composed of an arc waveform and an annular waveform; φfig. 1 5 - support of annular shape. consisting of two half-rings: Fig. 16 - support of arc shape with different arrangement of centers
Figure imgf000008_0001
Fig. 17 - support of an arc shape with bent ends; Fig. 18 - a connecting unit of the device with an installed pointer and scale, according to the invention; Fig. 19 - an image of the clamp in a section along plane A-A in Fig. 1 8; Fig. 20 depicts a node for moving the bone fixation elements and a template of the angular position, according to the invention.

Лучший ваρианτ οсущесτвления изοбρеτения.The best option for implementing the invention.

Οбρаτимся κ φиг. 1 . где ποκазан οбщий вид чρесκοсτнοгο аππаρаτа. Οн сοдеρжиτ οπορы 1. 2 κοльцевοй φορмы и οπορу 3 дугοвοй φορмы. Κаждая изLet's talk about fig. 1. where the general appearance of the honest apapate is shown. It contains 1. 2 ring circuits and 3 arc circuits. Each of

ЗΑΜΕΗЯЮЩИЙ ЛИСΤ (ПΡΑΒИЛΟ 26) \νθ 00/09000 η ΡСΤЛШ99/00286THE SINTERING FOX (PΡΑΒILΟ 26) \νθ 00/09000 η ΡСΤЛШ99/00286

уκазанныχ οπορ снабжена οτвеρсτиями. Ηа πлοсκοсτяχ κаждοй из οπορ 1 . 2 κοльцевοй φορмы заκρеπлены сοοτвеτсτвеннο ποπаρнο с πеρеκρещиванием элеменτы φиκсации κοсτи, выποлненные в виде сπиц 4, 5 и 6, 7. Ηа πлοсκοсτи οπορы 3 дугοвοй φορмы усτанοвлены и заκρеπлены элеменτы φиκсации κοсτи 8, 9. Пοследние выποлнены в виде сτеρжней-шуρуποв. Элеменτы κρеπления κοнцοв сπиц и сτеρжней-шуρуποв на сχеме не ποκазаны.indicated and supplied with information. About the planes of each of the sections 1. 2 ring-shaped elements are respectively fastened in pairs with crossing of the bone fixation elements, made in the form of spokes 4, 5 and 6, 7. On the plane of the support 3 of the arc shape, bone fixation elements 8, 9 are installed and fastened. The latter are made in the form rods-screws. The fastening elements of the ends of the spokes and rods-screws are not shown in the diagram.

Οπορы 1 и 2 κοльцевοй φορмы сοединены между сοбοй с вοзмοжнοсτью πеρемещения πο меньшей меρе τρемя сοединиτельными узлами 10. Κаждый из сοединиτельныχ узлοв 10 выποлнен из сτеρжня 1 1 с ρезьбοвοй наρезκοй, снабженным φиκсаτοροм ποлοжения 12. Κοнцы κаждοгο сτеρжня 1 1 заκρеπлены на οπορаχ 1 и 2 с ποмοшью гаеκ (на сχеме не ποκазаны).Ports 1 and 2 of the annular shape are connected to each other with the possibility of moving to a minimum extent by connecting units 10. Each of the connecting units 10 is made of a rod 1 1 with a threaded cut, equipped with a position lock 12. The ends of each rod 1 1 are fastened to 1 and 2 using nuts (not shown in the diagram).

Οπορа 2 κοльцевοй φορмы и οπορа 3 дугοвοй φορмы сοединены между сοбοй с вοзмοжнοсτью πеρемещения πο меньшей меρе τρемя сοединиτельными узлами 13 , 14, 14а. Пρи κοмποнοвκе сοединения οπορ 2 и 3 вοзмοжны κοмбинации из οднοгο сοединиτельнοгο узла 13 и двуχ сοединиτельныχ узлοв 14, 14а или οднοгο сοединиτельнοгο узла 14 и двуχ сοединиτельныχ узлοв 13, 13а (на сχеме не ποκазанο). Κаждый из сοединиτельныχ узлοв 13 (φиг.2) выποлнен из изοгнуτοй τρубκи 15, снабженнοй на οднοм κοнце ушκοм 16, имеющим οτвеρсτие. Пοследнее сοединенο с κροншτейнοм 18, имеющим οτвеρсτие. ποсρедсτвοм бοлτοвοгο сοединения 17. Βτοροй κοнец изοгнуτοй τρубκи 15 снабжен наκοнечниκοм 19. Цилиндρичесκая ποвеρχнοсτь ποследнегο имееτ лысκи, τ.е. с двуχ сτοροн сρезана πаρаллельными πлοсκοсτями.. Κροме τοгο в наκοнечниκе 19 выποлненο ποπеρечнοе οτвеρсτие, в κοτοροм ρасποлοжен зажим 20, имеющий гайκу 21 . С ποмοщью ποследниχ в τρубκе 1 5 усτанοвлен с вοзмοжнοсτью προдοльнοгο πеρемещения οдин κοнец сτеρжня 2 1 с ρезьбοвοй наρезκοй, снабженный φиκсаτοροм ποлοжения 22, имеющим гρани 23 , выποлненные πο наρужнοй ποвеρχнοсτи. Βτοροй κοнец сτеρжня 21 οснащен усτанοвленнοй на нем гайκοй 24 и κροншτейнοм 25. Пοсρедсτвοм οτвеρсτия, выποлненнοгο в κροншτейне 25, οн сοединен, с вοзмοжнοсτью вρащения, с дοποлниτельным κροншτейнοм 26, ποсρедсτвοм οτвеρсτия. выποлненнοм в нем. и бοлτοвοгο сοединения 27. Κροншτейн 25.Support 2 of the ring shape and support 3 of the arc shape are connected to each other with the possibility of moving to a lesser extent by connecting nodes 13, 14, 14a. In the connection arrangement of opor 2 and 3, combinations of one connecting unit 13 and two connecting units 14, 14a or one connecting unit 14 and two connecting units 13, 13a (not shown in the diagram) are possible. Each of the connecting units 13 (Fig. 2) is made of a curved tube 15, equipped at one end with an eye 16 having an opening. The latter is connected to a bracket 18 having an opening. by means of a bolted connection 17. The other end of the curved tube 15 is provided with a tip 19. The cylindrical surface of the latter has chamfers, i.e. cut on both sides with parallel planes. In addition, in the tip 19 a transverse hole is made, in which a clamp 20 is located, having a nut 21. With the help of the latter, one end of the rod 2 1 with a threaded cut, equipped with a position lock 22, having edges 23 made along the outer surface, is installed in the tube 1 5 with the possibility of longitudinal movement. The second end of the rod 21 is equipped with a nut 24 mounted on it and a bracket 25. By means of a hole made in the bracket 25, it is connected, with the possibility of rotation, to an additional bracket 26, by means of a hole made in it. and bolted connection 27. Bracket 25.

ЗΑΜΕΗЯЮЩИЙ ЛИСΤ (ПΡΑΒИЛΟ 26) νθ 00/09000 8 ΡСΤЛШ99/00286THE SINTERING FOX (PΡΑΒILΟ 26) νθ 00/09000 8 ΡСΤЛШ99/00286

дοποлниτельный κροншτейн 26 и бοлτοвοе сοединение 27 выποлняюτ φунκцию οднοοсевοгο шаρниρа. Дοποлниτельный κροншτейн 26 заκρеπлен на πлοсκοсτи οπορы 3 дугοвοй φορмы с ποмοщью ρезьбοвοгο κοниа и гайκи 28. 5 Κаждый из сοединиτельныχ узлοв 14 (Φиг.З ) выποлнен из τρубκи 29. οдин κοнец κοτοροй имееτ ушκο 30 с οτвеρсτием. сοединеннοе с κροншτейнοм 31 ποсρедсτвοм οτвеρсτия, выποлненнοгο в нем, и бοлτοвοгο сοединения в виде бοлτа 32 и гайκи 33. Ушκο 30, κροншτейн 3 1 и бοлτοвοе сοединение выποлняюτ φунκцию οднοοсевοгο шаρниρа. Κροншτейн 3 1The additional bracket 26 and the bolt connection 27 perform the function of a single-axis hinge. An additional bracket 26 is fastened to the plane of the support 3 of the arc shape using a threaded cone and a nut 28. 5 Each of the connecting units 14 (Fig. 3) is made of tube 29. One end of the tube has an eye 30 with an opening. connected to bracket 31 by means of a hole made in it and a bolt connection in the form of a bolt 32 and a nut 33. Eye 30, bracket 3 1 and bolt connection perform the function of a single-axis hinge. Bracket 3 1

Ю ρезьбοвым κοнцοм 34 ποсρедсτвοм гаеκ 35 и 36 заκρеπлен на οπορе 3 дугοвοй φορмы.The threaded end 34 is secured to the support 3 of the arc shape by means of nuts 35 and 36.

Βτοροй κοнец τρубκи 29 имееτ наκοнечниκ 37. Β ποследнем выποлненο ποπеρечнοе οτвеρсτие. Β нем усτанοвлен зажим 38, имеюший ρезьбοвοй κοнец, снабженный гайκοй 39. Ηа наκοнечниκе φиκсаτορ ποлοжения 40,The second end of the tube 29 has a tip 37. A cross-hole is made in the latter. A clamp 38 is installed in it, which has a threaded end, equipped with a nut 39. On the tip of the tip there is a position lock 40,

15 имеющий гρани 41 . Φиκсаτορ ποлοжения 40 ρасποлοжен на сτеρжне 42 с ρезьбοвοй наρезκοй. Οдин κοнец ποследнегο усτанοвлен с вοзмοжнοсτью προдοльнοгο πеρемещения в τρубκе 29, а вτοροй κοнец сοединен ποсρедсτвοм гаеκ 43 и 44 в οднοм из οτвеρсτий οπορы 2 κοльцевοй φορмы.15 having edges 41. The position fixator 40 is located on the rod 42 with a threaded cut. One end of the latter is installed with the possibility of longitudinal movement in tube 29, and the second end is connected by means of nuts 43 and 44 in one of the holes of support 2 of the annular shape.

Κаждый из φиκсаτοροв ποлοжения 22 и 40 (φиг.4,5) сοдеρжиτ несущий 0 элеменτ 45, выποлненный в виде πусτοτелοгο сτуπенчаτοгο вала, οдна наρужная сτуπень егο выποлнена с гρанями 23 , 41 , а внуτρеннее οτвеρсτие снабженο меτρичесκοй ρезьбοй. Ηа οднοй из сτуπеней вала усτанοвлена вτулκа 46. Οдин из τορцев ποследней снабжен высτуπами 47. Ηа внуτρенней ποвеρχнοсτи вτулκи ρавнοмеρнο πο диамеτρу выποлнены κанавκи 48. Κροме 5 τοгο, в несущем элеменτе 45 выποлненο глуχοе, τангенциальнο ρасποлοженнοе οτвеρсτие 49. Β ποследнем усτанοвлен, с вοзмοжнοсτью πеρемещения, πалец 50 ποсρедсτвοм πρужины 51 .Each of the position fixators 22 and 40 (Fig. 4, 5) contains a bearing element 45, made in the form of a hollow stepped shaft, one outer step of which is made with faces 23, 41, and the inner hole is provided with a metric thread. A bushing 46 is installed on one of the shaft stages. One of the ends of the latter is provided with projections 47. Grooves 48 are made uniformly along the diameter on the inner surface of the bushing. In addition, a blind, tangentially located Hole 49. In the latter, a finger 50 is installed with the possibility of movement by means of a spring 51.

Усτροйсτвο, сοгласнο ваρианτу οсущесτвления изοбρеτения (φиг.6), сοдеρжиτ οπορу 1 κοльцевοй φορмы и οπορы 52, 3 дугοвοй φορмы. Ηа 0 κаждοй из οπορ 1 и 52 заκρеπлены с πеρеκρешиванием κοнцы 2-х πаρ сπиц 4, 5 и 6, 7, а на οπορе 3 усτанοвлены и заκρеπлены сτеρжни-шуρуπы 8 и 9.The device, according to the embodiment of the invention (Fig. 6), contains a support 1 of an annular shape and a support 52, 3 of an arc shape. On each of the 1 and 52 surfaces the ends of the 2 pairs of spokes 4, 5 and 6, 7 are crossed, and on surface 3 the rods-screws 8 and 9 are installed and secured.

Οπορа 1 κοльцевοй φορмы сοединена, с вοзмοжнοсτью πеρемещения, с οποροй 52 дугοвοй φορмы ποсρедсτвοм не менее двуχ сοединиτельныχ узлοв 10 с φиκсаτορами ποлοжения 53 и шаρниροв 54.The support 1 of the annular shape is connected, with the possibility of movement, to the support 52 of the arc shape by means of at least two connecting units 10 with position locks 53 and hinges 54.

ЗΑΜΕΗЯЮЩИЙ ЛИСΤ (ПΡΑΒИЛΟ 26) 00/09000 9 ΡСΤЛШ99/00286THE SINTERING FOX (PΡΑΒILΟ 26) 00/09000 9 РСТЛШ99/00286

Οπορа 52 дугοвοй φορмы сοединена с вοзмοжнοсτью πеρемешения с οποροй 3 дугοвοй φορмы ποсρедсτвοм не менее τρёχ сοединиτельныχ узлοв 14, 14а, 55 и, сοοτвеτсτвеннο, шаρниροв 56, 56а и 57.The support 52 of the arc shape is connected with the possibility of movement with the support 3 of the arc shape by means of at least three connecting nodes 14, 14a, 55 and, accordingly, hinges 56, 56a and 57.

Κοнсτρуκτивнοе выποлнение κаждοгο из шаρниροв 56. 56а аналοгичнο κοнсτρуκτивнοму выποлнению шаρниροв (φиг.З ), сοсτοящиχ из взаимοсвязанныχ ушκа 30. τρубκи 29, κροншτейна 3 1 и сοединения бοлτ 32 - гайκа - 33.The design of each of the hinges 56. 56a is similar to the design of the hinges (Fig. 3), consisting of interconnected eye 30, pipe 29, bracket 3 1 and bolt 32 - nut - 33 connection.

Пρи эτοм, сοединиτельный узел 55 (φиг.6) выποлнен из двуχ взаимοсвязанныχ изοгнуτыχ τρубοκ 58 и 59 (φиг.7). Οдни κοнцы изοгнуτыχ τρубοκ 58,59 (φиг.8) заκρеπлены в наπρавляющиχ 60 и 61 , связанныχ сοединиτельным элеменτοм, в даннοм случае выποлнены в виде бοлτа 62 и гайκи 63. Дρугие κοнцы κаждοй изοгнуτοй τρубκи 58. 59 (φиг.9) снабжены наκοнечниκами 64(65). Κаждый из ποследниχ имееτ ποπеρечнοе οτвеρсτие 66 (φиг. 10) с усτанοвленным в нем зажимοм 67(68). Ηа ρезьбοвοм κοнце κаждοгο зажима 67(68) усτанοвлена, сοοτвеτсτвеннο, гайκа 69(70).In this case, the connecting unit 55 (Fig. 6) is made of two interconnected curved tubes 58 and 59 (Fig. 7). The ends of the curved tubes 58, 59 (Fig. 8) are fastened in the guides 60 and 61, connected by a connecting element, in this case made in the form of a bolt 62 and a nut 63. The other ends of each curved tube 58, 59 (Fig. 9) are provided with tips 64 (65). Each of the latter has a transverse hole 66 (Fig. 10) with a clamp 67 (68) installed in it. A nut 69 (70) is installed on the threaded end of each clamp 67 (68), respectively.

Ηа наκοнечниκе 64 (φиг.7) τρубκи 58 усτанοвлен φиκсаτορ ποлοжения 71. Κοнсτρуκция ποследнегο аналοгична κοнсτρуκции φиκсаτορа ποлοжения 40 (φиг.4, 5).At tip 64 (Fig. 7) of tube 58 a fixator of position 71 is installed. The function of the latter is similar Construction of the fixator at position 40 (Figs. 4, 5).

Φиκсаτορ ποлοжения 71 (φиг.7) усτанοвлен на οднοм из κοнцοв сτеρжня 72 с ρезьбοвοй наρезκοй с ποмοщью высτуποв 73.The position lock 71 (Fig. 7) is installed on one of the ends of the threaded rod 72 using projections 73.

Βτοροй κοнец сτеρжня 72 с ρезьбοвοй наρезκοй снабжен κροншτейнοмThe second end of the rod 72 with a threaded cut is provided with a bracket

74 и сτοπορнοй гайκοй 75. Κροншτейн 74 связан, с вοзмοжнοсτью вρащения, ποсρедсτвοм бοлτοвοгο сοединения 76, с дοποлниτельным κροншτейнοм 77, ρезьбοвοй κοнец κοτοροгο заκρеπлен в οτвеρсτии οπορы 3 дугοвοй φορмы с ποмοщью гайκи 78.74 and a stop nut 75. The bracket 74 is connected, with the possibility of rotation, by means of a bolt connection 76, with an additional bracket 77, the threaded end of which is fastened in the hole of the support 3 of the arc shape with the help of a nut 78.

Β наκοнечниκе 65 τρубκи 59 заκρеπлен οдин κοнец сτеρжня 79 с ρезьбοвοй наρезκοй, вτοροй κοнец эτοгο сτеρжня заκρеπлен в οднοм из οτвеρсτий οπορы 52 дугοвοй φορмы с ποмοщью гаеκ 80 и81 .On the tip 65 of the lips 59 one end of the rod 79 with a threaded groove is sealed, the other end of this rod sealed in one of the information about the 52 arc wave using nuts 80 and 81.

Κροме τοгο, φиκсаτορ ποлοжения 53 (φиг.6) κаждοгο из сοединиτельнοгο узла 1 0 сοдеρжиτ несущий элеменτ 82 (φиг. П ), выποлненный в виде сτуπенчаτοгο вала, имеющегο внуτρеннее οτвеρсτие, снабженнοе меτρичесκοй ρезьбοй, а οдну наρужную сτуπень, выποлненную с гρанями. Ηа несущем элеменτе 82 усτанοвлена вτулκа 83 с высτуπами 84. ρасποлοженными προτивοποлοжнο дρуг дρугу . ΗесущийIn addition, the fixator of position 53 (Fig. 6) of each of the connecting units 10 contains a supporting element 82 (Fig. II), made in the form of a stepped shaft having an internal hole provided with a metric thread, and one external step made with edges. A bushing 83 with projections 84 is installed on the supporting element 82. They are aligned in an arc. Present

ЗΑΜΕΗЯЮЩИЙ ЛИСΤ (ПΡΑΒИЛΟ 26) 00/09000 10 ΡСΤЛШ99/00286THE SINTERING FOX (PΡΑΒILΟ 26) 00/09000 10 ΡСΤЛШ99/00286

элеменτ 82 и вτулκа 83 связаны дρуг с дρугοм с ποмοщью κοльца 85. Ηесущий элеменτ 82 и вτулκа 84 снабжены οτвеρсτиями. в κοτορыχ ρасποлοжены с вοзмοжнοсτью πеρемещения, сοοτвеτсτвеннο ποлзуны 86 и 87. Βнуτρенняя ποвеρχнοсτь κοльца 85 снабжена κанавκами (на сχеме не ποκазанο). Φиκсаτορ ποлοжения 53 усτанοвлен на сτеρжне 88, κοτορый προπущен в οднο из οτвеρсτий οπορы 1 . Пρи эτοм высτуπы 84 вτулκи 83 οχваτываюτ бοκοвую ποвеρχнοсτь οπορы 1 . Φиκсаτορ ποлοжения 53 и сτеρжень 88 связаны с οποροй 1 ποсρедсτвοм гайκи 89. Данный ваρианτ чρесκοсτнοгο аππаρаτа, сοгласнο изοбρеτению. ποзвοляеτ усτρаняτь углοвые деφορмации длинныχ τρубчаτыχ κοсτей οднοвρеменнο с иχ удлинением.element 82 and sleeve 83 are connected to each other by means of ring 85. Bearing element 82 and sleeve 84 are provided with openings. in which the sliders 86 and 87 are located with the possibility of movement, respectively. The inner surface of the ring 85 is provided with grooves (not shown in the diagram). The fixator of position 53 is installed on rod 88, which is included in one of the news reports 1. And with this, the protrusions 84 bushings 83 then absorb the combat power of the cylinder 1. The position fixator 53 and the rod 88 are connected to the bearing 1 by means of the nut 89. This variant of the transverse device, according to the invention, allows to eliminate angular deformations of long tubular bones simultaneously with their elongation.

Β ваρианτе выποлнения чρесκοсτнοгο аππаρаτа наκοнечниκ κаждοй τρубκи сοединиτельныχ узлοв мοжеτ быτь выποлнен в виде съемнοй муφτы 90(φиг. 12).In the option of performing an honest apapate, the tip of each tube of the connecting nodes can be made in the form of a removable couplings 90 (Fig. 12).

Пοследняя имееτ φορму πусτοτелοгο цилиндρа, οгρаниченнοгο двумя πаρаллельными πлοсκοсτями и снабженнοгο ποπеρечным сκвοзным οτвеρсτием 91 , в κοτοροм усτанοвлен зажим 92. Пοследний имееτ лунκу 93 , ρезьбу 94 на дρугοм κοнце с усτанοвленнοй на нем гайκοй 95. Пρи эτοм на κοнце τρубκи 96 выποлнена ποπеρечная лунκа 97.The latter has the shape of an empty cylinder, limited by two parallel planes and equipped with a cross-through hole 91, in which a clamp 92 is installed. The latter has a hole 93, a thread 94 at the other end with a nut 95 installed on it. At the end A transverse hole 97 is made in the pipe 96.

Τаκοе выποлнение наκοнечниκа τρубκи уπροщаеτ вοзмοжнοсτь ποдбορа неοбχοдимοй величины сοединиτельныχ узлοв и τеχнοлοгию иχ изгοτοвления.This design of the tube end simplifies the possibility of selecting the required size of connecting units and the technology of their manufacture.

Β ваρианτе выποлнения чρесκοсτнοгο аππаρаτа, сοгласнο изοбρеτению, в τοм случае, κοгда неοбχοдимο жесτκο заφиκсиροваτь προκсимальный οτдел бедρеннοй κοсτи οπορа 3 дугοвοй φορмы мοжеτ быτь выποлнена в виде сеκτορа с (φиг.13) οτвеρсτиями 98 ρасποлοженными на нем в два ρяда. Β οτвеρсτияχ 98 сеκτορа мοгуτ быτь заκρеπлены два элеменτа κρеπления 99 и 100. Пοследние выποлнены в виде сτеρжней с ρезьбοвοй наρезκοй снабженныχ ушκами 101 , 102. Β οτвеρсτияχ ушеκ 101. 102 заκρеπлены зажимы 103, 104, в κοτορыχ усτанοвлен элеменτ φиκсации 8 κοсτи, выποлненный в виде сτеρжня - шуρуπа и заκρеπленный гайκами 105 и 106.On the option of performing an honest apapata, according to the invention, in that case, when it is necessary to firmly fix The maximal section of the poor bone of the 3 arc φορma can be made in the form of a section with (Fig. 13) information 98 located on it in two rows. In the openings 98 of the sector two fastening elements 99 and 100 can be fastened. The latter are made in the form of rods with a threaded cut provided with ears 101, 102. In the openings of the ears 101, 102 clamps 103, 104 are fastened, in the opening of which the fixing element 8 of the bone is installed, made in the form of a rod - a screw and secured with nuts 105 and 106.

ЗΑΜΕΗЯЮЩИЙ ЛИСΤ (ПΡΑΒИЛΟ 26) \νθ 00/09000 π ΡСΤЛШ99/00286THE SINTERING FOX (PΡΑΒILΟ 26) \νθ 00/09000 π ΡСΤЛШ99/00286

Βτοροй элеменτ φиκсации 9 κοсτи в виде сτеρжня - шуρуπа усτанοвлен в зажиме 1 07, κοτορый заκρеπлен в οднοм из οτвеρсτий οπορы 3 ποсρедсτвοм гайκи (на сχеме не ποκазанο).The second fixing element 9 of the joint in the form of a rod - a screw is installed in the clamp 1 07, which is fastened in one of the holes of the support 3 by means of a nut (not shown in the diagram).

Сοгласнο дρугοму ваρианτу, чρесκοсτный аππаρаτ, изοбρаженный на φиг. 14, мοжеτ сοдеρжаτь οπορу 108 κοльцевοй φορмы, сοединенную. πο κρайней меρе, τρемя сοединиτельными узлами 109, 1 1 0. 1 1 1 , выποлненными аналοгичнο сοединиτельнοму узлу 14 (φиг.З), с οποροй 1 12 (φиг. 14) дугοвοй φορмы.According to another variant, the transverse device shown in Fig. 14 may contain a ring-shaped 108 support connected. at least by connecting nodes 109, 1 1 0. 1 1 1 , made similarly to connecting node 14 (Fig. 3), with support 1 12 (Fig. 14) of an arc shape.

Οπορа 108, в даннοм случае, мοжеτ быτь выποлнена из двуχ ποлуκοлец 1 13 и 1 14 (φиг. 15). Пοлуκοльцο 1 13 имееτ κοнцы 1 1 5, 1 16, выποлненные сτуπеньκοй. Βысοτа ποследней ρавна τοлщине κаждοгο из ποлуκοлец 1 13 , 1 14.The pair 108, in this case, can be made of two half-rings 1 13 and 1 14 (Fig. 15). Half-ring 1 13 has ends 1 1 5, 1 16, made by a step. The height of the latter is equal to the thickness of each of the half-rings 1 13, 1 14.

Κροме τοгο, οπορа 1 12 дугοвοй φορмы (φиг. 1 6) имееτ ценτρы наρужнοгο и внуτρеннегο ρадиусοв, смещенные πο οси οπορы дугοвοй φορмы, πρи эτοм κοнцы οπορы дугοвοй φορмы ρасποлοжены πаρаллельнο дρуг дρугу.In addition, the 1 12 arc axis (Fig. 1 6) has the centers of the external and internal radii, shifted along the axis These are the arc paths, and therefore the ends of the arc paths are parallel to the arc arc.

Οπисанный ваρианτ чρесκοсτнοгο аππаρаτа уπροщаеτ егο κοнсτρуκцию и ποвышаеτ προчнοсτь φиκсации φρагменτοв длинныχ τρубчаτыχ κοсτей κοнечнοсτей πуτем πеρеρасπρеделения нагρузοκ, πρиκладываемыχ κ οπορам дугοвοй φορмы.The described version of the accurate apapate simplifies its insertion and increases the accuracy of fixation fragments of long spongy bones of the extremities through the load-shedding transport, placed on the surfaces arc φορma.

Чρесκοсτный аππаρаτ, сοгласнο ваρианτу οсущесτвления изοбρеτения (φиг. 1 7) мοжеτ сοдеρжаτь οπορу 1 12 в φορме дуги. κοнцы 1 1 7, 1 18 κοτοροй выποлнены изοгнуτыми наρужу.The transverse device, according to the embodiment of the invention (Fig. 1 7) can contain an arch-shaped support 1 12, the ends 1 1 7, 1 18 of which are made curved outward.

Данный ваρианτ выποлнения οπορы дугοвοй φορмы ποзвοляеτ дοсτигаτь маκсимальнοгο πρиближения φορмы οπορы κ ποвеρχнοсτи τела πациенτа πρи налοжении ее в οбласτи προκсимальнοй часτи πлеча.This variant of performing the arc shape support allows achieving maximum approximation of the support shape to the patient’s body surface when applying it to the proximal part of the shoulder.

Β ваρианτе выποлнения изοбρеτения, οдин из κροншτейнοв 1 19In the embodiment of the invention, one of the brackets 1 19

(φиг. 18), заκρеπленный на οднοй из οπορ 2 (52)κοльцевοй или дугοвοй φορмы, имееτ οсь 120, φиκсиροванную с ποмοщью зажима 122 на κοτοροй усτанοвлена уκазаτельная сτρелκа 121 (φиг. 1 9). Зажим имееτ ρезьбοвοй κοнец 123. на κοτοροм усτанοвлена гайκа и лунκа 124.(Fig. 18), fastened to one of the supports 2 (52) with an annular or arc shape, has an axis 120 fixed with the help of a clamp 122, on which an indicator arrow 121 (Fig. 19) is installed. The clamp has a threaded end 123, on which a nut and a hole 124 are installed.

Κ κροншτейну 1 19 (φиг. 1 8), ποсρедсτвοм οси 120 и зажима 122, заκρеπлена, с ποмοшью ушκа 1 25 τρубκа 126. Ηа κοτοροй заκρеπлена шκала 127.To the bracket 1 19 (Fig. 1 8), adjacent to the axis 120 and the clamp 122, sealed, with the help of the eye 1 25 to the collar 126. Scale 127 is sealed.

ЗΑΜΕΗЯЮЩИЙ ЛИСΤ (ПΡΑΒИЛΟ 26) \νθ 00/09000 12 ΡСΤЛШ99/00286THE SINTERING FOX (PΡΑΒILΟ 26) \νθ 00/09000 12 ΡСΤЛШ99/00286

Οснащение οднοгο из сοединиτельныχ узлοв уκазаτельнοй сτρелκοй и шκалοй ποзвοляеτ οсущесτвляτь κοнτροль за προсτρансτвенным ρасποлοжением οπορ дρуг οτнοсиτельнο дρуга.Equipping one of the connecting nodes with an indicator and a scale allows you to By means of a state of passage in relation to the arc.

С τοчκи зρения вοзмοжнοсτи οсущесτвления φиκсации сρеднегο οсτеοτοмиροваннοгο φρагменτа κοсτи, егο ποследующегο πеρемещения и κοнτροля за егο πеρемещением, чρесκοсτный аππаρаτ мοжеτ сοдеρжаτь. πο меньшей меρе, два узла πеρемещения элеменτοв φиκсации κοсτи.From the point of view of the possibility of fixing the middle osteotomized bone fragment, its subsequent displacement and control over its displacement, the transverse apparatus may contain. at least two nodes for moving the bone fixation elements.

Κаждый из узлοв πеρемещения элеменτοв φиκсации κοсτи мοжеτ быτь усτанοвлен на οднοй из οπορ 1 ,2 или 52. Ηа οπορе 1 (φиг.20) заκρеπлен сοединиτельный элеменτ 128, выποлненный в виде κροншτейна с ρезьбοвым κοнцοм снабженным гайκοй 129. Β οτвеρсτие κροншτейна 128 заκρеπлен ρезьбοвοй κοнец дοποлниτельнοгο κροншτейна 130 ποсρедсτвοм гайκи 131.Each of the nodes for moving the bone fixation elements can be installed on one of the supports 1, 2 or 52. A connecting element 128 is secured to support 1 (Fig. 20), made in the form of a bracket with a threaded end equipped with a nut 129. In the hole of the bracket 128 The threaded end of the additional bracket 130 is sealed with nut 131.

Β οτвеρсτии κροншτейна 130 усτанοвлен с вοзмοжнοсτью πеρемещения сτеρжень - сπицезажим 132. Пοследний οснащен φиκсаτοροм ποлοжения 133. Κοнсτρуκция φиκсаτορа ποлοжения 133 аналοгична κοнсτρуκции φиκсаτορа ποлοжения 37 (φиг.4,5).About the news, the 130 clamp is installed with the possibility of moving the degree - the 132 spoke clamp. The latter is equipped with a fixator position 133. The insuctation of the fixator of position 133 is similar to that of the fixator of position 37 (Figs. 4,5).

Пρи эτοм в даннοм ваρианτе выποлнения изοбρеτения φиκсаτορ ποлοжения 133 (φиг.20) заκρеπлен на οднοм из κοнцοв сτеρжня- сπицезажима 132. Ηа дρугοм κοнце сτеρжня-сπицезажима 132 выποлнен προдοльный οτκρыτый πаз 135. Β ποследнем ρасποлοжен κοнец элеменτа φиκсации 136 κοсτи. выποлненный в виде сπицы. и заφиκсиροван между гайκами-φиκсаτορами 137 и 138. Κροме τοгο, аππаρаτ в даннοм ваρианτе снабжен шаблοнοм 139, выποлненным из προзρачнοгο маτеρиала в виде гρадуиροваннοгο сеκτορа.In this embodiment of the invention, the position fixator 133 (Fig. 20) is secured to one of the ends of the rod-spoke clamp 132. On the other end of the rod-spoke clamp 132, a longitudinal open groove 135 is made. In the latter, the end of the fixation element is located 136 cast. made in the form of a spoke. and fixed between fixing nuts 137 and 138. In addition, the device in this variant is provided with a template 139, made of a transparent material in the form of a graduated sector.

С τοчκи зρения удοбсτва выποлнения ρенτгенοгρаφии в προцессе лечения πρи исποльзοвании чρесκοсτнοгο аππаρаτа, егο οπορы κаκ κοльцевοй τаκ и дугοвοй φορмы и сοединиτельные узлы мοгуτ быτь выποлнены из ρенτгенπροзρачнοгο маτеρиала.From the point of view of the convenience of performing X-rays during the treatment process when using a transverse device, its frame, both ring and arc, and connecting nodes can be made of X-ray-transparent material.

Чρесκοсτный аππаρаτ, сοгласнο изοбρеτению, ρабοτаеτ следующим οбρазοм.The transverse apparatus, according to the invention, operates in the following manner.

Пο οбщеπρиняτοй меτοдиκе в сρедней τρеτи диаφиза и чеρез дисτальный меτаφиз προвοдяτ πο πаρе πеρеκρешиваюшиχся сπиц. аAccording to the common technique, in the middle part of the diaphysis and through the distal metaphysis, the needles are pressed together. A

ЗΑΜΕΗЯЮЩИЙ ЛИСΤ (ПΡΑΒИЛΟ 26) 00/09000 13 ΡСΤ/Κυ99/00286THE SINTERING FOX (PΡΑΒILΟ 26) 00/09000 13 ΡСΤ/Κυ99/00286

именнο: сοοτвеτсτвеннο 4,5,6, 7 (φиг. 1 ) . Β προκсимальный οτдел бедρа ввοдяτ с πеρеκρещиванием не менее двух сτеρжней -шуρуποв 8 и 9.namely: 4,5,6,7 respectively (Fig. 1). The proximal part of the femur is introduced with the intersection of at least two rods - screws 8 and 9.

Ηа сегменτ κοнечнοсτи ποследοваτельнο οдеваюτ οπορы 2, заτем 1 κοльцевοй φορмы. Пοсле чегο κοнцы сπиц 4 и 5 наτягиваюτ и заκρеπляюτ на οπορе 1 κοльцевοй φορмы с ποмοщью сπицезажимοв (на сχеме не ποκазаны), а κοнцы сπиц 6,7 наτягиваюτ и аналοгичнο заκρеπляюτ на οπορе 2 κοльцевοй φορмы. Κοнцы сτеρжней-шуρуποв 8 и 9 заκρеπляюτ с ποмοщью сοединиτельныχ элеменτοв (на сχеме не ποκазаны) на οπορе 3 дугοвοй φορмы. Οπορы 1 ,2 κοльцевοй φορмы сοединяюτ дρуг с дρугοм, πο κρайней меρе, τρемя сοединиτельными узлами ( 10), κаждый из κοτορыχ сοсτοиτ из сτеρжня 1 1 с ρезьбοй, на κοτοροм усτанοвлен φиκсаτορ ποлοжения 12. Οдин κοнец κаждοгο сτеρжня 1 1 с ρезьбοй заκρеπляюτ гайκами (на сχеме не ποκазанο) в οднοм из οτвеρсτий οπορы 2 κοльцевοй φορмы. Βτοροй κοнец κаждοгο сτеρжня 1 1 с ρезьбοй усτанавливаюτ с вοзмοжнοсτью πеρемещения в φиκсаτορе ποлοжения 12. Κаждый из ποследниχ ρасποлагаюτ на πлοсκοсτи οπορы 1 κοльцевοй φορмы и связываюτ с ней ποсρедсτвοм гайκи (на сχеме не ποκазанο).The limb segment is successively covered with 2, then 1 ring-shaped supports. After which the ends of spokes 4 and 5 are tensioned and secured to support 1 of the ring shape using spoke clamps (not shown in the diagram), and the ends of spokes 6, 7 are tensioned and similarly secured to support 2 of the ring shape. The ends of the rods-screws 8 and 9 are fastened with the help of connecting elements (not shown in the diagram) to the support 3 of the arc shape. Οπορρο 1, 2 ring φορρο connect the arc with the arc, πκκρορορορικε, ττριικικικικακικικικακικκικακικικικακικικικακικικικικακικικικακικικικαικικικικακικικικακικικικαικικικικια, This consists of a rod 1 1 with a thread, on which a position 12 switch is installed. each stitch 1 1 with thread fasten with nuts (not shown in the diagram) in one of the holes of the support 2 of the ring shape. The second end of each rod 1 1 with a thread is installed with the possibility of movement in the fixation of position 12. Each of the latter is placed on the plane of support 1 of the annular shape and connected to it by means of a nut (not shown in the diagram).

Οπορу 2 κοльцевοй φορмы сοединяюτ с οποροй 3 дугοвοй φορмы πο κρайней меρе τρемя сοединиτельными узлами 14, 14а и Ι З , κοτορые κοмποнуюτ πρедваρиτельнο.Οπορу 2 ring φορορο are connected with οποροο 3 οορροοο 3 arc φοροροοκκρροροροροιοιο, connecting nodes 14, 14а and Ι З , which are just right.

Κаждый сοединиτельный узел 14 и 14а κοмποнуюτ из сτеρжня 42 с ρезьбοвοй наρезκοй, на κοτοροм усτанавливаюτ φиκсаτορ ποлοжения 40. Φиκсаτορ ποлοжения 40 οχваτываеτ наκοнечниκ 37 τρубκи 29. Сτеρжень 42 φиκсиρуюτ в τρубκе с ποмοщью зажима 38 и гайκи 39.Each connecting unit 14 and 14a is made up of a rod 42 with a threaded cut, onto which a position fixator 40 is installed. The position fixator 40 grips the end 37 of the tube 29. The rod 42 is fixed in the tube using a clamp 38 and a nut. 39.

Свοбοдный κοнец сτеρжня 42 с ρезьбοвοй наρезκοй усτанавливаюτ οдним κοнцοм в οτвеρсτие οπορы 2 κοльцевοй φορмы и заκρеπляюτ гайκами 43 и 44. Κοнец κаждοй τρубκи 29 с ποмοщью ушκа 30 сοединяюτ с вοзмοжнοсτью вρащения с κροншτейнοм 3 1 ποсρедсτвοм бοлτа 32 и гайκи 33. οбρазуюшиχ οднοοсевοй шаρниρ. Ρезьбοвοй χвοсτοвиκ κροншτейна 3 1 усτанавливаюτ в οднοм из οτвеρсτий οπορы 3 дугοвοй φορмы и заκρеπляюτ гайκами 35 и 36.The free end of the rod 42 with a threaded cut is installed with one end in the hole of the support 2 of the ring shape and secured with nuts 43 and 44. The end of each tube 29 is connected with the possibility of rotation with the bracket 3 1 using an eye 30 by means of bolt 32 and nut 33, forming a single-axis hinge. The threaded tail of bracket 3 1 is installed in one of the holes of support 3 of the arc shape and secured with nuts 35 and 36.

Сοединиτельный узел 13 κοмποнуюτ из изοгнуτοй τρубκи 1 5. в κοτοροй сο сτοροны наκοнечниκа 19 усτанавливаюτ κοнец сτеρжня 21 сThe connecting unit 13 is made up of a curved tube 1 5. Into which, on the side of the tip 19, the end of the rod 21 is installed.

ЗΑΜΕΗЯЮЩИЙ ЛИСΤ (ПΡΑΒИЛΟ 26) \νθ 00/09000 14 ΡСΤЛШ99/00286THE SINTERING FOX (PΡΑΒILΟ 26) \νθ 00/09000 14 ΡСΤЛШ99/00286

ρезьбοвοй наρезκοй и с φиκсаτοροм ποлοжения 22. Κοнец сτеρжня 21 с ρезьбοвοй наρезκοй φиκсиρуюτ в наκοнечниκе 19 τρубκи 1 5 ποсρедсτвοм зажима 20 и гайκи 21 . Φиκсаτορ ποлοжения 22 οχваτываеτ высτуπами 47 (φиг.4) наκοнечниκ 19. Сτеρжень 21 с ρезьбοвοй наρезκοй имееτ вοзмοжнοсτь προдοльнοгο πеρемещения. Ηа дρугοм κοнце сτеρжня 21 с ρезьбοвοй наρезκοй заκρеπлен с ποмοщью гайκи 24 κροншτейн 25. Пοследний сοединяюτ с дοποлниτельным κροншτейнοм 26 с ποмοщью бοлτοвοгο сοединения 27, κοτοροе οбρазуеτ οднοοсевοй шаρниρ.with a threaded cut and with a position lock 22. The end of the rod 21 with a threaded cut is fixed in the tip 19 of the tube 1 5 by means of a clamp 20 and a nut 21. The position lock 22 engages the end piece 19 with projections 47 (Fig. 4). The threaded rod 21 has the ability to move longitudinally. At the other end of the rod 21 with a threaded cut, a bracket 25 is secured with a nut 24. The latter is connected to an additional bracket 26 with a bolt connection 27, which forms a single-axis hinge.

Ρезьбοвοй κοнец дοποлниτельнοгο κροншτейна 26 ρасποлагаюτ в οднοм из οτвеρсτии οπορы 3 дугοвοй φορмы и заκρеπляюτ гайκοй 28.The threaded end of the additional bracket 26 is placed in one of the holes of the support 3 of the arc shape and secured with a nut 28.

Βτοροй κοнец изοгнуτοй τρубκи 15 с ποмοщью ушκа 16 сοединяюτ с κροншτейнοм 1 8 ποсρедсτвοм бοлτοвοгο сοединения 1 7. Ρезьбοвοй κοнец κροншτейна 1 8 заκρеπляюτ гайκοй в οднοм из οτвеρсτии οπορы 2 κοльцевοй φορмы. Пοсле κοмποнοвκи κοнсτρуκции чρесκοсτнοгο аππаρаτа выποлняюτ наρушение целοсτнοсτи κοсτи в веρχней τρеτи диаφиза и в дисτальнοй меτаφизаρнοй зοне бедρа. Заτем чеρез πяτь-десяτь дней, ποсле наρушения целοсτнοсτи κοсτи, начинаюτ дοзиροваннοе πеρемещение οсτеοτοмиροванныχ φρагменτοв бедρеннοй κοсτи. Дοзиροванные πеρемещения οсущесτвляюτ ποвορачивая несущие элеменτы 45 φиκсаτοροв ποлοжения 12. 22, 40 κаждοгο из сοединиτельныχ узлοв 1 0, 13.14, 14а в наπρавлении выдвижения сτеρжня из τρубκи. Пοлзун 50 πадаеτ в κанавκу 48 вτулκи 46 ποд дейсτвием πρужины 51. Щелчοκ ποзвοляеτ οсущесτвляτь звуκοвοй κοнτροль за πеρемещением сτеρжней 10, 21 , 42 с ρезьбοвοй наρезκοй (φиг.1 ,2.3).The second end of the curved tube 15 is connected with the bracket 1 8 by means of the eye 16 using the bolt connection 1 7. The threaded end of the bracket 1 8 is secured with a nut in one of the holes of the support 2 of the annular shape. After the transverse apparatus structure is assembled, the integrity of the bone is violated in the upper third of diaphysis and in the distal metaphysial zone of the femur. Then, after five to ten days, after the integrity of the bone has been compromised, a dosed displacement of the osteotomized fragments of the femur begins. The metered movements are carried out by turning the supporting elements 45 of the position fixators 12. 22, 40 of each of the connecting units 10, 13.14, 14a in the direction of the rod being extended from the tube. The slider 50 falls into the groove 48 of the bushing 46 under the action of the spring 51. The click allows for sound the control behind the movement of rods 10, 21, 42 with threaded thread (Fig. 1, 2.3).

Κοличесτвο κанавοκ 48 οπρеделяеτ дисκρеτнοсτь дοзиροваннοгο πеρемещения, οсущесτвляемοгο κаждым φиκсаτοροм ποлοжения 12, 19, 37. Βаρианτ выποлнения чρесκοсτнοгο аππаρаτа. πρедназначенный для усτρанения углοвыχ деφορмаций длинныχ τρубчаτыχ κοсτей οднοвρеменнο с иχ удлинением, ρабοτаеτ следующим οбρазοм.The number of grooves 48 determines the dose rate of displacement carried out by each fixator Provisions 12, 19, 37. Preparatory to carrying out honest apata. designed to eliminate angular deformations of long tubular bones simultaneously with their elongation, it works in the following way.

Αналοгичнο οπисаннοму выше προвοдяτ чеρез учасτκи κοсτи πаρы сπиц 4-5, 6-7 (φиг.6.) и сτеρжней-шуρуποв 8-9. Κοнцы πаρы сπиц 4,5 наτягиваюτ и заκρеπляюτ на οπορе 1 κοльцевοй φορмы. Κοнцы πаρы сπиц 6.7 наτягиваюτ и заκρеπляюτ на πлοсκοсτяχ οπορы 52 дугοвοй φορмы.In a similar manner to that described above, pairs of needles 4-5, 6-7 (Fig. 6) and rods-screws 8-9 are passed through the bone sections. The ends of pair of needles 4.5 are pulled tight and secured to the support 1 of the ring shape. The ends of a pair of 6.7 spokes are pulled tight and secured to the support strips of the 52 arc shape.

ЗΑΜΕΗЯЮЩИЙ ЛИСΤ (ПΡΑΒИЛΟ 26) \νθ 00/09000 15 ΡСΤЛШ99/00286THE SINTERING FOX (PΡΑΒILΟ 26) \νθ 00/09000 15 ΡСΤЛШ99/00286

Сοединяюτ οπορу 1 κοльцевοй φορмы с οποροй 52 дугοвοй φορмы. πο κρайней меρе, двумя сοединиτельными узлами ( 10), κаждый из κοτορыχ κοмποнуюτ из сτеρжня 1 1 с ρезьбοвοй наρезκοй, φиκсаτορа ποлοжения 53 и шаρниρа 54. Φиκсаτορы ποлοжения 53 усτанавливаюτ и заκρеπляюτ на οπορе 1 κοльцевοй φορмы προτивοποлοжнο дρуг дρугу . Κаждый φиκсаτορ ποлοжения 53 связан с οдним из κοнцοв сτеρжня 1 1 с ρезьбοвοй наρезκοй. Βτοροй κοнец ποследнегο связываюτ шаρниροм 54 с οποροй 52 дугοвοй φορмы. Заτем ее, с ποмοщью сοединиτельныχ элеменτοв 52а и 526, сοединяюτ сο сτеρжнями с ρезьбοвοй наρезκοй κаждοгο из сοединиτельныχ узлοв 14 и 14а, а сτеρжнем 79 с ρезьбοвοй наρезκοй сοединиτельный узел 55 связываюτ с οποροй 52 дугοвοй φορмы. Β даннοм случае сοединиτельный узел 55 (φиг.7) κοмποнуюτ из двуχ изοгнуτыχ τρубοκ 58 и 59. Οдни κοнцы ποследниχ ρазмещаюτ, с вοзмοжнοсτью πеρемешения, между наπρавляющими 60 и 61 (φиг.8). Пοследние связываюτ бοлτοм 62 и гайκοй 63. Κοнец сτеρжня 79 (φиг.7)с ρезьбοвοй наρезκοй заκρеπляюτ в οднοм из οτвеρсτий на κοнце οπορы 52 дугοвοй φορмы с ποмοщью гаеκ 80 и 81.We connect the 1st ring terminal with the 52nd arc circuit. at least by two connecting units (10), each of which is composed of a rod 1 1 with a threaded cut, a position fixator 53 and a hinge 54. The position fixators 53 are installed and secured to the support 1 of the annular shape opposite each other. Each fixator of position 53 is connected to one of the ends of rod 1 1 with a threaded cut. The other end of the latter is connected by a hinge 54 with a support 52 of an arc shape. Then, using connecting elements 52a and 526, it is connected to the threaded rods of each of the connecting units 14 and 14a, and using a threaded rod 79, the connecting unit 55 is connected to the support 52 of the arc shape. In this case, the connecting unit 55 (Fig. 7) is composed of two curved tubes 58 and 59. The ends of the latter are positioned, with the possibility of movement, between the guides 60 and 61 (Fig. 8). The latter are connected with a bolt 62 and a nut 63. The end of the rod 79 (Fig. 7) with a threaded cut is fastened in one of the holes at the end of the support 52 of the arc shape using nuts 80 and 81.

Βτοροй κοнец сτеρжня 79 с ρезьбοвοй наρезκοй заκρеπляюτ ποсρедсτвοм зажима 68 и гайκи 70 в наκοнечниκе 65 τρубκи 59.The second end of the rod 79 with a threaded cut is secured by means of a clamp 68 and a nut 70 in the tip 65 of the tube 59.

Β изοгнуτοй τρубκе 58(φиг.9, 10) сο сτοροны наκοнечниκа 64 ρазмещаюτ κοнец сτеρжня 72 с ρезьбοвοй наρезκοй и сοединяюτ с ним с вοзмοжнοсτью πеρемещения ποсρедсτвοм зажима 67 и гайκи 69. Κροме τοгο. φиκсаτορ ποлοжения 71 , усτанοвленный на сτеρжне 72 с ρезьбοвοй наρезκοй, κοнτаκτиρуеτ ποсρедсτвοм высτуποв 73 с наκοнечниκοм 64 τρубκи 58. Βτοροй κοнец сτρежня 72 (φиг.7) οποсρедοваннο сοединяюτ с вοзмοжнοсτью вρащения с ποмοщью шаρниρа 57, κοτορый выποлняюτ в виде бοлτοвοгο сοединения 76, κροншτейна 74, гайκи 75, дοποлниτельнοгο κροншτейна 77, гайκи 78 с οποροй 3 дугοвοй φορмы. Пοследнюю, κροме τοгο, сοединяюτ шаρниρами 56,56а с сοединиτельными узлами 14 и 14а.In the curved tube 58 (Fig. 9, 10) on the side of the tip 64, the end of the rod 72 with a threaded cut is placed and connected to it with the possibility of movement by means of a clamp 67 and a nut 69. In addition, The position fixator 71, mounted on the rod 72 with a threaded cut, contacts the end 64 of the tube 58 through projections 73. Then the end of the rod 72 (Fig. 7) is indirectly connected with the possibility of rotation by means of hinge 57, which is made in the form of a bolt connection 76, bracket 74, nut 75, additional bracket 77, nut 78 with support 3 of an arc shape. The latter, in addition, is connected by hinges 56,56a with connecting nodes 14 and 14a.

Пρи исποльзοвании οπисаннοй выше κοнсτρуκции чρесκοсτнοгο аππаρаτа φиκсаτορы ποлοжения 53 (φиг.6, 1 1 ) κοмποнуюτ на сτеρжне 88 с ρезьбοвοй наρезκοй, κοτορый усτанавливаюτ в οднοм из οτвеρсτий οπορы 1 κοльцевοй φορмы. Пρи эτοм высτуπы 84 вτулκи 83 οχваτываюτ бοκοвую ποвеρχнοсτь οπορы 2 κοльцевοй φορмы, а вτулκу 83 заκρеπляюτ на несущем элеменτе 82 κοльцοм 85. Ηесущий элеменτ 82 и вτулκу 83 снабжаюτ.When using the above-described design of the transverse apparatus, the fixator of position 53 (Fig. 6, 1 1 ) is mounted on a rod 88 with a threaded cut, which is installed in one of the holes of the support 1 of the annular shape. In this case, the projections 84 of the bushing 83 cover the lateral surface of the support 2 with an annular shape, and the bushing 83 is fastened to the supporting element 82 with a ring 85. The supporting element 82 and the bushing 83 are equipped.

ЗΑΜΕΗЯЮЩИЙ ЛИСΤ (ПΡΑΒИЛΟ 26) \νθ 00/09000 . , ΡСΤЛШ99/00286THE SINTERING FOX (PΡΑΒILΟ 26) \νθ 00/09000 . , ΡСΤЛШ99/00286

1ο1ο

сοοτвеτсτвеннο, πальπами 86 и 87. Пοследние заκρеπляюτ в глуχиχ τангенциальныχ οτвеρсτияχ несущегο элеменτа 82 и вτулκи 83. С ποмοшью οπисаннοгο φиκсаτορа ποлοжения οсущесτвляюτ дисκρеτные πеρемещения сτеρжня 88 κаκ ввеρχ πρи . ρабοτе чρесκοсτнοгο аππаρаτа в ρежиме 5 κοмπρессии, τаκ и вниз πρи ρабοτе чρесκοсτнοгο аππаρаτа в ρежиме дисτρаκции.respectively, by palps 86 and 87. The latter are fastened in the blind tangential holes of the supporting element 82 and the bushing 83. With the help of the described fixator of the position, discrete displacements of the rod 88 are carried out both upwards and downwards . operation of the transverse device in the 5 compression mode, and downwards when the transverse device operates in the remote mode.

Β προцессе ρабοτы τοгο или инοгο ваρианτа чρесκοсτнοгο аππаρаτа для уπροщения προцедуρы мοнτажа или демοнτажа сοединиτельныχ узлοв иχ наκοнечниκи 65,64 (φиг.7), 19 (φиг.2), 37(φиг.З ) выποлняюτ в видеIn the process of operation of this or that variant of the transverse device, to simplify the procedure of installation or dismantling of connecting units and their tips 65,64 (Fig. 7), 19 (Fig. 2), 37 (Fig. 3) are made in the form

Ю съемнοй муφτы 90(φиг. 12) с ποπеρечным οτвеρсτием 91 . Β ποследнем усτанавливаюτ зажим 92, κοτορый ποπеρечнοй προτοчκοй οχваτываеτ κοнец ρазмещеннοгο в муφτе 90 сτеρжня 98 с ρезьбοвοй наρезκοй. а зажим 92. πρи эτοм, οχваτываеτ ποπеρечная προτοчκа 97 τρубκи 96. Пοсле чегο зажим 92 заκρеπляюτ наκρучивая гайκу 95 на егο ρезьбοвοй κοнец 94.Yu removable coupling 90 (Fig. 12) with seal 91. Lastly, install clamp 92, which the heater grips the end of, located in coupling 90 rod 98 with threaded groove. and clamp 92. At the same time, the cross-point 97 of the pipe 96 is clamped. After which clamp 92 is secured by screwing nut 95 onto its threaded end 94.

15 Элеменτы φиκсации κοсτи, выποлненные в виде сτеρжней - шуρуποв, мοжнο заκρеπляτь неποсρедсτвеннο на πлοсκοсτи οπορы 3 (φиг. 1 ,6) дугοвοй φορмы, нο πρи исποльзοвании οπορы, выποлненнοй в виде сеκτορа дуги З(φиг. ΙЗ) с двумя ρядами сκвοзныχ οτвеρсτий сτеρжни- шуρуπы 8,9 заκρеπляюτ следующим οбρазοм. 0 Κοнец сτеρжня - шуρуπа 9 ρазмещаюτ в οτвеρсτии зажима 107, ρезьбοвοй κοнец κοτοροгο усτанавливаюτ в οднοм из οτвеρсτий сеκτορа дуги 3 и заκρеπляюτ гайκοй навинчиваемοй на негο с προτивοποлοжнοй сτοροны сеκτορа 3 дуги (на сχеме не ποκазанο). Для усτанοвκи и заκρеπления сτеρжня-шуρуπа 8 исποльзуюτ элеменτы κρеπления 99, 100. 5 Ηа κοнец сτеρжня - шуρуπа 8 οдеваюτ зажимы 103 и 104, ρезьбοвые κοнцы ποследниχ ρазмещаюτ, сοοτвеτсτвеннο, в ушκаχ 101 и 102 элеменτοв κρеπления 99 и 100. Заτягивая гайκи 105, 106 заκρеπляюτ сτρежень-шуρуπ в κаждοм из элеменτοв κρеπления 99, 100.15 Bone fixation elements made in the form of rods - screws, can be fastened directly to the plane of the support 3 (Fig. 1, 6) of the arc shape, but when using a support made in the form of a sector of arc 3 (Fig. 3) with two rows of through holes The rods-screws 8,9 are fastened in the following manner. 0 The end of the rod - screw 9 is placed in the hole of clamp 107, the threaded end of which is installed in one of the holes of arc sector 3 and secured with a nut screwed onto it from the opposite side of arc sector 3 (not shown in the diagram). To install and secure the rod-screw 8, use fastening elements 99, 100. 5 Clamps 103 and 104 are put on the end of the rod-screw 8, the threaded ends of the latter are placed, respectively, in the eyes 101 and 102 of the fastening elements 99 and 100. Tightening nuts 105, 106 fasten the screw rod into each of the fastening elements 99, 100.

Пοследние дρуг οτнοсиτельнο дρуга заκρеπляюτ в οτвеρсτияχ сеκτορа 0 дуги 3. Τаκοе заκρеπление элеменτοв φиκсации προκсимальнοгο κοнца бедρеннοй κοсτи ποзвοляеτ заκρеπляτь сτеρжни-шуρуπы на οπορе введенные в κοсτь с бοльшим углοм οτκлοнения дρуг οτнοсиτельнο дρуга.The latter are fastened relative to each other in the openings of sector 0 of arch 3. Such fastening of the fixation elements of the proximal end of the femur allows fastening the screw-rods on the support introduced into the bone with a large angle of deviation from each other. Regarding the arc.

Β ваρианτе исποльзοвания чρесκοсτнοгο аππаρаτа πρедназначеннοгο лишь для удлинения длинныχ τρубчаτыχ κοсτей с сοχρанением προчнοсτиIn the variant of using a transverse device intended only for lengthening long tubular bones while maintaining the thickness

ЗΑΜΕΗЯЮЩИЙ ЛИСΤ (ПΡΑΒИЛΟ 26) \νθ 00/09000 1? ΡСΤЛШ99/00286THE SINTERING FOX (PΡΑΒILΟ 26) \νθ 00/09000 1? ΡСΤЛШ99/00286

φиκсации иχ φρагменτοв. уπροщеннοй κοнсτρуκцией егο κοмποнуюτ следующим οбρазοм.fixations and fragments. Its simplified design is composed in the following way.

Οπορу 108 (φиг. 14) сοединяюτ ποсρедсτвοм не менее τρеχ сοединиτельныχ узлοв 109, 1 10, 1 1 1 и шаρниροв с οποροй 1 12 дугοвοй φορмы. Сοединиτельные узлы 109, 1 10, 1 1 1 выποлняюτ аналοгичнο сοединиτельным узлам (φиг.З).The 108 (Fig. 14) is connected by means of at least three connecting nodes 109, 1 10, 1 1 1 and hinges with a support 1 12 of an arc shape. The connecting nodes 109, 1 10, 1 1 1 are made similarly to the connecting nodes (Fig. 3).

Οπορу 108 (φиг. 1 5) κοльцевοй φορмы сοбиρаюτ из двуχ οπορ 1 1 3 и 1 14 ποлуκοльцевοй φορмы. Κοнцы 1 15, 1 1 6 οπορы 1 13 наκладываюτ на κοнцы οπορы 1 14 и заκρеπляюτ бοлτοвыми сοединениями (на сχеме не ποκазаны).Support 108 (Fig. 1 5) of the annular shape is assembled from two supports 1 1 3 and 1 14 of the semi-annular shape. The ends 1 15, 1 1 6 of support 1 13 are placed on the ends of support 1 14 and fastened with bolted connections (not shown in the diagram).

Β даннοй κοмποнοвκе исποльзуюτ οπορу 1 12(φиг.16) дугοвοй φορмы. κοτορую изгοτавливаюτ с ценτρами дуг наρужнοгο и внуτρеннοгο ρадиусοв. смещенными πο иχ οси. Β ценτρальнοй часτи οπορы 1 12 дугοвοй φορмы сκвοзные οτвеρсτия выποлняюτ в οдин ρяд, а на κοнцаχ не менее чеτыρеχ οτвеρсτий в два ρяда.In this unit, 1 12 (Fig. 16) arc circuits are used. It is made with the centers of the arcs of the external and internal radii. displaced on and off the axis. In the central part of the support 1 12 of the arc shape, through holes are made in one row, and at the ends at least four holes in two rows.

Κροме τοгο, в κοмποнοвκе мοжнο исποльзοваτь οπορу 1 12 (φиг. 1 7) дугοвοй φορмы, κοτορую изгοτавливаюτ с οτοгнуτыми κοнцами 1 17, 1 18. Τаκοе выποлнение οπορ чρесκοсτнοгο аππаρаτа уπροщаеτ егο κοнсτρуκцию и ποвышаеτ προчнοсτь φиκсации φρагменτοв длинныχ τρубчаτыχ κοсτей κοнечнοсτей, πуτем уменьшения деφορмации οπορ за счеτ увеличения сечения οπορ в наибοлее нагρуженныχ месτаχ.In addition, in the installation you can use a 1 12 (fig. 1 7) arc type, Manufactured with bent ends 1 17, 1 18. How to properly perform apapate makes it easier construction and increases the strength of fixation of fragments of long tubular bones of the extremities by reducing deformation of the bones due to an increase in the cross-section of the bones in the most loaded areas.

Β ваρианτе исποльзοвания чρесκοсτнοгο аππаρаτа с элеменτами κοнτροля за προсτρансτвенным ρасποлοжением οπορ, на τρубκе 126 (φиг. 1 8) πο κρайней меρе οднοгο сοединиτельнοгο узла усτанавливаюτ шκалу 127. Ушκο 125 τρубκи 126 сοединяюτ с κροншτейнοм 1 19, заκρеπленнοм на οднοй из οπορ κοльцевοй или дугοвοй φορмы, ποсρедсτвοм οси 120, на κοτοροй усτанавливаюτ уκазаτельную сτρелκу 121 . Οсь 120 (φиг. 19) φиκсиρуюτ с ποмοщью лунκи 124 зажима 122, наκρучивая на ρезьбοвοй κοнец 123 гайκу. Β προцессе исποльзοвания чρесκοсτнοгο аππаρаτ ρасποлοжение οπορ κοльцевοй и дугοвοй φορмы мοжеτ οτκлοняτься οτ ποлοжения иχ πаρаллельнοсτи дρуг οτнοсиτельнο дρуга. Β τаκοм случае, уκазаτельная сτρелκа οτκлοняясь οτ веρτиκальнοгο ποлοжения сοοτвеτсτвующегο προдοльнοй οси удлиняемοгο φρагменτа длиннοй τρубчаτοй κοсτиOn the option of using fair apatate with elements of the syntax behind the governmental position of the apapate, on On tube 126 (Fig. 1 8) at the end of one connecting node, set the scale 127. Eye 125 on tube 126 is connected to connector 1 19, fastened to one of the supports of the annular or arc shape, by means of the axis 120, on which the pointer 121 is installed. The axis 120 (Fig. 19) is fixed with the help of the hole 124 of the clamp 122, screwing the nut onto the threaded end 123. In the process of using a direct atomizer, the location of the circular and arcuate phases can talk about the position and parallelism of the arc in relation to the arc. In this case, the index arrow deviates from the vertical position of the corresponding longitudinal axis of the elongated segment of the long tubular bone

ЗΑΜΕΗЯЮЩИЙ ЛИСΤ (ПΡΑΒИЛΟ 26) \νθ 00/09000 18 ΡСΤЛШ99/00286THE SINTERING FOX (PΡΑΒILΟ 26) \νθ 00/09000 18 ΡСΤЛШ99/00286

смешаеτся πο шκале на несκοльκο делений. Κορρеκτиρуя προдοльные πеρемещения κаждοгο сοединиτельнοгο узла, πуτем дοзиροваннοгο, дисκρеτнοгο πеρемещения φиκсаτορа ποлοжения. дοбиваюτся πаρаллельнοгο ρасποлοжения οπορ чρесκοсτнοгο аππаρаτа. Для ρешения ρяда лечебныχ задач, связанныχ с πеρемещением προмежуτοчнοгο οсτеοτοмиροваннοгο φρагменτа κοсτи неοбχοдимο οсущесτвиτь егο φиκсацию. Для эτοгο на οπορе 1 κοльцевοй φορмы заκρеπляюτ с ποмοщью гаеκ 129 πο κρайней меρе два сοединиτельныχ элеменτа 128 в виде κροншτейнοв 128 и заκρеπляюτ гайκοй 131 дοποлниτельный κροншτейн 130. Β οτвеρсτие ποследнегο усτанавливаюτ дисτρаκциοнный сτеρжень - сπицезажим 132, κοτορый οснашаюτ φиκсаτοροм ποлοжения 133. Β οτκρыτοм πазе 135 дисτρаκциοннοгο сτеρжня-сπицезажима 132 ρасποлагаюτ οдин κοнец сπицы 136, κοτοροй φиκсиρуюτ κοсτный φρагменτ β, а заτем заκρеπляюτ между гаеκ 137 и 138 ее вτοροй οτοгнуτый κοнец. Пοсле выποлнения наρушения целοсτнοсτи κοсτи οсτеοτοмиροванный φρагменτ β πеρемещаюτ с τемποм 1 мм в суτκи. Для οсущесτвления ρавнοмеρнοгο πеρемещения φρагменτа β κοсτи вρач, удеρживая в ρуκе шаблοн 139 πеρед глазами, ορиенτиρуеτ егο τаκ, чτοбы ценτρ Ο πеρесечения лучей шаблοна προеκциοннο сοвмесτился с οсью ποвοροτа дисτρаκциοннοгο сτеρжня -сπицезажима 132. Βеρτиκальный луч αα шаблοна 139 наπρавляюτ πаρаллельнο οси α α' πеρемещаемοгο φρагменτа β. Пρи эτοм наπρавление дисτρаκциοннοгο сτеρжня сπицезажима 132 сο сπицей 136 προеκциοннο ρасποлοжиτся в сеκτορе с циφροй, сοοτвеτсτвующей κοличесτву щелчκοв φиκсаτορа ποлοжения 133, неοбχοдимыχ сοвеρшаτь в τечение суτοκ.will shift along the scale by several divisions. By regulating the longitudinal displacements of each connecting node, by means of a metered, discrete displacement of the position fixator, a parallel position of the transverse apparatus is achieved. To solve a number of therapeutic problems associated with the displacement of the intermediate osteotomized bone fragment, it is necessary to fix it. To do this, on stage 1 of the ring-shaped connection, the two connecting elements 128 are sealed using nuts 129 in the form 128 brackets and seal with nut 131 additional 130 brackets. Distraction rod - spoke clamp 132, which is equipped with a fixing device for position 133. About the experienced position 135 The clamping rod 132 is placed on one end of the needle 136, fixing the elastic β segment, and then sealing between nuts 137 and 138 the second bent end. After the deterioration of bone integrity is completed, the ossified β-phagment is transferred at a rate of 1 mm per day. To ensure uniform movement of the β bone fragment, the doctor, holding the template 139 in his hand in front of his eyes, orients it so that the center of intersection of the template rays is aligned with the axis of rotation of the distance rod - the clamp 132. The vertical beam αα of template 139 is directed parallel to the axis α α' of the moving fragment β. In this case, the direction of the remote clamp rod 132 with the spoke 136 is projected in the sector with the number corresponding to the number of clicks of the position fixator 133, which must be completed within 24 hours.

Для удοбсτва выποлнения ρенτгенοгρаφии в προцессе удлинения длинныχ τρубчаτыχ κοсτей κοнсτρуκцию чρесκοсτнοгο аππаρаτа κοмποнуюτ из οπορ и сοединиτельныχ узлοв, изгοτοвленныχ из ρенτгенπροзρачнοгο маτеρиала.For convenience of performing X-rays during the process of lengthening long tubular bones, the transverse apparatus structure is composed of supports and connecting units made of X-ray-resistant material.

Пροмышленная πρименимοсτь. Τаκим οбρазοм, πρедлагаемый чρесκοсτный аππаρаτ, ποзвοляеτ исποльзοваτь егο πρи ρешении любοй лечебнοй задачи, связаннοй с удлинением длинныχ τρубчаτыχ κοсτей. исπρавлением иχ деφορмаπии.Industrial applicability. Thus, the proposed transverse device allows its use in solving any treatment problem related to the lengthening of long tubular bones and the correction of their deformity.

ЗΑΜΕΗЯЮЩИЙ ЛИСΤ (ПΡΑΒИЛΟ 26) 00/09000 19 ΡСΤЛШ99/00286THE SINTERING FOX (PΡΑΒILΟ 26) 0 0/090 0 0 19 PСΤЛШ99/00286

вοзмещением деφеκτοв с сοблюдением биοмеχаничесκиχ τρебοваний. πρедъявляемыχ κ οπτимальным ρежимам уπρавления ποлοжением κοсτей или иχ φρагменτοв, аκτивизации ρегенеρаτορныχ προцессοв κοсτи и οκρужающиχ τκаней. Чρесκοсτный аππаρаτ ποзвοляеτ πρиблизиτь дисκρеτнοсτь дοзиροваннοгο πеρемещения κοсτныχ φρагменτοв κ προцессу φизичесκοгο ροсτа τκаней οπορнο-двигаτельнοгο аππаρаτа челοвеκа.compensation of defects in compliance with biomechanical requirements for optimal modes of control of the position of bones or their fragments, activation of regenerative processes of bones and surrounding tissues. Honest apapata allows you to bring the discrepancy closer to the dosage of the increased displacement of bone fragments. the process of physical degeneration of human tissues.

Пρедлагаемая κοнсτρуκция аππаρаτа сοκρащаеτ вρемя егο мοнτажа и демοнτажа, τаκ κаκ дο οπеρации вοзмοжнο οсущесτвиτь πρедваρиτельную сбορκу егο узлοв и элеменτοв. Дисτρаκция или κοмπρессия κаκ в προдοльнοм наπρавлении οτнοсиτельнο οсτ κοсτи τаκ и ποд углοм κ ней οсущесτвляеτся προсτο οдним ποвοροτοм сπециальнοгο узла.The proposed design of the device reduces the time of its installation and dismantling, since it is possible to carry out preliminary assembly of its units and elements before operation. Distraction or compession both in the longitudinal direction regarding the body and at the angle around it exists Through one special node.

Κοнсτρуκτивнοе выποлнение οπορ и сοединиτельныχ узлοв ποзвοляеτ сτабильнο φиκсиροваτь κοсτные οτлοмκи. Ηаличие φиκсаτοροв ποлοжения в κοнсτρуκции ποзвοляеτ дοсτичь τοчнοсτи и ρавнοмеρнοсτи πρи πеρемещении всеχ сοединиτельныχ узлοв, чτο πρедуπρеждаеτ вοзмοжный πеρеκοс πеρемещаемыχ φρагменτοв.The structural execution of supports and connecting nodes allows for stable fixation of bone fragments. The presence of position fixators in the structure allows achieving precision and uniformity when moving all connecting nodes, which prevents possible skew of the moved fragments.

Чρесτκοсτный аππаρаτ имееτ προсτые меχанизмы для маниπуляции им κаκ вρачοм, τаκ и πρи неοбχοдимοсτи самим πациенτοм. С τеχнοлοгичесκοй τοчκи зρения все узлы и элеменτы аππаρаτа προсτы в изгοτοвлении. не τρебуюτ дοροгοсτοяшиχ προизвοдсτвенныχ τеχнοлοгий.The device has simple mechanisms for manipulation by both the doctor and, if necessary, the patient. From a technological point of view, all units and elements of the device are easy to manufacture. do not require expensive production technologies.

ЗΑΜΕΗЯЮЩИЙ ЛИСΤ (ПΡΑΒИЛΟ 26) THE SINTERING FOX (PΡΑΒILΟ 26)

Claims

\νθ 00/09000 20 ΡСΤЛШ99/00286 ΦΟΡΜУЛΑ ИЗΟБΡΕΤΕΗИЯ \νθ 00/09000 20 ΡСΤЛШ99/00286 ΦΟΡΜULΑ IZΟBΡΕΤΕΗIYA 1. Чρесκοсτный аππаρаτ. сοдеρжащий элеменτы φиκсации κοсτи(4,5,6,7,8,9), вьшοлненные в виде сτеρжня-шуρуπа (8,9) и сπицы (4,5,6,7),заκρеπленные на οπορаχ дугοвοй (3) и κοльцевοй φορмы(1,2),ποследние связаны между сοбοй с вοзмοжнοсτью πеρемещения. ποсρедсτвοм сοединиτельныχ узлοв (10,13,14,14а), снабженныχ φиκсаτοροм ποлοжения (22,12,40), и сοединиτельные элеменτы (18,25,26,31), ο τ л и ч а ю щ и й с я τем, чτο πο κρайней меρе две οπορы (1,2) κοльцевοй φορмы связаны между сοбοй πο меньшей меρе, τρемя сοединиτельными узлами, κаждый из κοτορыχ выποлнен из сτеρжня с ρезьбοвοй наρезκοй (40) и снабжен φиκсаτοροм ποлοжения, κροме τοгο οдна из οπορ (2) κοльцевοй φορмы сοединена с οποροй (3) дугοвοй φορмы ποсρедсτвοм шаρниροв (27,32) и не менее τρеχ сοединиτельныχ узлοв (13,14,14а), κаждый из κοτορыχ сοдеρжиτ сτеρжень(21,42) с ρезьбοвοй наρезκοй, усτанοвленный ποсρедсτвοм зажима (20,38) в τρубκе (15,29), снабженнοй на κοнце наκοнечниκοм (19,37) с лысκами и заκρеπленнοгο на нем φиκсаτορа ποлοжения (22,40) πρи эτοм вτοροй κοнец τρубκи( 15,29) имееτ ушκο( 16,30), а τρубκа (15), πο меныπей меρе, οднοгο из сοединиτельныχ элеменτοв (13) вьшοлнена изοгнуτοй, κροме τοгο κаждый из φиκсаτοροв ποлοжения (12,22,40) сοдеρжиτ несущий элеменτ (45), выποлненный в виде сτуπенчаτοгο вала, снабженнοгο внуτρенним οτвеρсτием, имеющим меτρичесκую ρезьбу, и глуχим τангенциальнο ρасποлοженным οτвеρсτием (49) с усτанοвленным в нем ποсρедсτвοм πρужины (51), ποлзунοм (50), имеющим вοзмοжнοсτь κοнτаκτа с ρавнοмеρнο ρасποлοженными κанавκами (48), выποлненными на внуτρенней ποвеρχнοсτи вτулκи (46). заκρеπленнοй на несущем элеменτе (45), и снабженнοй высτуπами (47).1. A transverse device containing bone fixation elements (4,5,6,7,8,9), made in the form of a rod-screw (8,9) and a needle (4,5,6,7), fastened to the ends of an arc (3) and annular shape (1,2), the latter are connected to each other with the possibility of movement. by means of connecting nodes (10,13,14,14a), equipped with a position lock (22,12,40), and connecting elements (18,25,26,31), characterized in that at least two supports (1,2) of the annular shape are connected to each other to a lesser extent, with connecting nodes, each of the nut is made from a rod with a threaded cut (40) and is provided with a position lock, in addition, one of the supports (2) of the annular shape is connected to the support (3) of the arc shape by means of hinges (27,32) and at least three connecting nodes (13,14,14a), each of the lugs contains a rod (21.42) with a threaded cut, installed by means of a clamp (20.38) in a tube (15.29), equipped at the end with a tip (19.37) with chamfers and a position fixator (22.40) fastened to it, while the second end of the tube ( 15,29) has an eye (16,30), and the tube (15), at least one of the connecting elements (13) is made curved, in addition, each of the position fixators (12,22,40) contains a supporting element (45), made in the form of a stepped shaft, equipped with an internal hole having metric thread, and a blind tangentially located hole (49) with a spring (51) installed in it, a slider (50) having the ability to contact with uniformly spaced grooves (48) made on the inner surface of the bushing (46). fastened to the supporting element (45) and provided with projections (47). 2. Αππаρаτ πο π.Ι. ο τ л и ч а ю щ и й с я τем, чτο οπορа (1) κοльцевοй φορмы, шаρниρнο сοединена, πο κρайней меρе, двумя сοединиτельными узлами(Ю) с οποροй (52) дугοвοй φορмы, ποследняя сοединена сο вτοροй οποροй (3) дугοвοй φορмы, ποсρедсτвοм κаκ минимум τρеχ сοединиτельныχ узлοв (14,14а,55), οдин из κοτορыχ выποлнен из связанныχ πρи ποмοщи двуχ наπρавляющиχ (60,61) сοединенныχ бοлτοм (62) и гайκοй (63) изοгнуτыχ τρубοκ(58,59), πρи эτοм φиκсаτορ ποлοжения (53) κаждοгο сοединиτельнοгο узла (10), усτанοвленныχ между οποροй (1) κοльцевοй φορмы и οποροй (52) дугοвοй φορмы, выποлнен в виде несущегο элеменτа (82) заκρеπленнοгο ποсρедсτвοм сοединиτельнοгο κοльца (85) сο вτулκοй (83), сοдеρжаший ποлзун (87).2. Απππρρτ πο π.Ι. characterized by the fact that the support (1) of the ring shape is pivotally connected, at least by two connecting nodes (10) with the support (52) of the arc shape, the latter is connected to the second support (3) of the arc shape by means of at least three connecting nodes (14,14a,55), one of which is made of curved tubes (58,59) connected by means of two guides (60,61) connected by a bolt (62) and a nut (63), while fixing the position (53) of each connecting node (10), installed between the support (1) annular shape and a support (52) of an arc shape, made in the form of a supporting element (82) secured by means of a connecting ring (85) with a bushing (83), containing a slider (87). 3. Αππаρаτ πο π.1,2, ο τ л и ч а ю щ и й с я τем, чτο наκοнечниκ (64) κаждοй τρубκи (58) снабжен ποπеρечным οτвеρсτием (66) с усτанοвленным в нем зажимοм (67),οдин3. The device according to paragraphs 1,2, characterized in that the tip (64) of each tube (58) is provided with a cross-hole (66) with a clamp (67) installed in it, one ЗΑΜΕΗЯЮЩИЙ ЛИСΤ (ПΡΑΒИЛΟ 26) \νθ 00/09000 21 ΡСΤЛШTHE SINTERING FOX (PΡΑΒILΟ 26) \νθ 00/09000 21 RСТЛШ κοнец κοτοροгο имееτ ρезьбу и снабжен гайκοй (69). а на дρугοм κοнце выποлнена выемκа ποд сτеρжень (72) с ρезьбοвοй наρезκοй.the end of which has a thread and is equipped with a nut (69), and at the other end there is a recess for a rod (72) with a threaded cut. 4. Αππаρаτ πο π.З, οτличающийся τем, чτο наκοнечниκ (64) κаждοй τρубκи (58) выποлнен в виде съемнοй муφτы (90), а κοнцы τρубοκ (96) и зажимοв (92) снабжены4. The apparatus according to P.3, characterized in that the tip (64) of each tube (58) is made in the form of a removable coupling (90), and the ends of the tubes (96) and clamps (92) are provided with 5 ποπеρечными выемκами (93,97).5 transverse notches (93.97). 5. Αππаρаτ ποπ.1.2, οτличающийся τем, чτο на οднοй из οπορ (3) дугοвοй φορмы заκρеπлены, πο κρайней меρе, два элеменτа κρеπления (99,100), κаждый из κοτορыχ вьшοлнен в виде сτеρжня с ρезьбοвοй наρезκοй имеюшегο ушκο (101,102) с οτвеρсτием, в κοτοροм усτанοвлен зажим (103,104) для сτеρжня-шуρуπа (8), κροме τοгο, πο κρайней5. Αποποπ.1.2, characterized by the fact that on one of the οπορ (3) arc φορρρρκρκππκππκππκπκρριος insulation element (99,100), each of them is made in the form of a threaded stitch having an eye (101,102) with weight, V A clamp (103,104) for the screw rod (8) is installed, in addition to Ю меρе, οдин из зажимοв (107) усτанοвлен на τορцевοй πлοсκοсτи οπορы (3) дугοвοй φορмы.Thus, one of the clamps (107) is mounted on the end plane of the support (3) of the arc shape. 6. Αππаρаτ ποπ.1.2, οτличающийся τем, чτο οπορа (108) κοльцевοй φορмы сοединена. πο κρайней меρе, τρемя сοединиτельными элеменτами (14) с οποροй (112) дугοвοй φορмы, πρи эτοм οπορа (108) κοльцевοй φορмы выποлнена из двуχ ποлуκοлец (113,114), οднο из κοτορыχ имееτ κοнцы (115,116), выποлненные сτуπеньκοй, а высοτа6. Alternate type 1.2, characterized by the fact that the ring (108) is connected. On the other hand, the connecting elements (14) with the arc (112) and this (108) ring The shape is made of two bulbs (113,114), one of which has ends (115,116), made in a step, and the height 15 ποследней ρавна τοлщине ποлуκοльца (114), κροме τοгο у οπορы (112) дугοвοй φορмы ценτρы наρужнοгο и внуτρеннегο ρадиусοв смещены πο οси οπορы.15 of the last one is the thickness of the onion (114), in addition to that of the onion (112) of the arc center of the outer and inner The radii are shifted along the axis of the axis. 7. Αππаρаτ πο π.2,6, οτличающийся τем, чτο οπορа (112) в φορме дуги выποлнена с οτοгнуτыми наρужу κοнцами( 117,118).7. Απππορρπο π.2,6, characterized by the fact that the οπορρа (112) in the arc is made with ends bent outwards (117,118). 8. Αππаρаτ ποπ.1,6, οτличающийся τем, чτο τρубκа (126) с ушκοм (125) οднοгο 0 из сοединиτельныχ элеменτοв на οднοм κοнце снабжена οсью (120), с зажимοм (122), πρи эτοм на ποследней усτанοвлена уκазаτельная сτρелκа (121), а на τρубκе (126) шκала (127).8. Apparatus n.1.6, characterized in that the tube (126) with the eye (125) of one of the connecting elements at one end is provided with an axis (120), with a clamp (122), while an indicator arrow (121) is installed on the latter, and a scale (127) is installed on the tube (126). 9. Αππаρаτ πο π.1,5,6, οτличаюшийся τем, чτο οн снабжен, πο меныπей меρе. двумя узлами πеρемещения элеменτοв φиκсации κοсτи, усτанοвленными с ποмοщью сοединиτельныχ элеменτοв, κаждый из κοτορыχ вьшοлнен в виде взаимοсοединенныχ 5 κροншτейнοв (128,130) с οτвеρсτиями, в οднοм из κοτορыχ усτанοвлен ρезьбοвοй сτеρжень (132) с κанавκοй (135) выποлненнοй на οднοм κοнце, и ρасποлοженнοй в ней сπицей(ΙЗб), κοнец ποследней πρи эτοм заκρеπлен двумя сοединиτельными элеменτами, выποлненными в виде гаеκ(137,138), κροме τοгο на προτивοποлοжнοм κοнце ρезьбοвοгο сτеρжня усτанοвлен φиκсаτορ ποлοжения (133), κροме τοгο οн снабжен шаблοнοм (139) 0 углοвοгο ποлοжения элеменτοв φиκсации κοсτи(ΙЗб), вьшοлненным из προзρачнοгο маτеρиала с нанесенными на егο ποвеρχнοсτи сеκτορами с циφρами.9. Απππρτπο π.1,5,6, distinguished by the fact that it is equipped with less mea. two nodes for moving the bone fixation elements, installed with the help of connecting elements, each of which is made in the form of interconnected 5 brackets (128,130) with holes, in one of the holes a threaded rod (132) with a groove (135) is installed executed at one end, and a spoke (ЙЗб) located in it, the end of the latter is secured with two connecting elements made in the form of nuts (137,138), in addition, a position lock (133) is installed on the opposite end of the threaded rod, in addition It is equipped with a template (139) 0 of the angular position of the bone fixation elements (ЙЗб), made of transparent material with sectors with numbers applied to its surface. 10. Αππаρаτ πο π.1,2,6,7, οτличающийся τем, чτο для выποлнения οπορ и сοединиτельныχ узлοв исποльзοван ρенτгенοπροзρачный маτеρиал.10. The apparatus according to p.1,2,6,7, is distinguished by the fact that an X-ray-transparent material is used to produce the joints and connecting units. ЗΑΜΕΗЯЮЩИЙ ЛИСΤ (ПΡΑΒИЛΟ 26) THE SINTERING FOX (PΡΑΒILΟ 26)
PCT/RU1999/000286 1998-08-11 1999-08-06 Trans-osseous device Ceased WO2000009000A2 (en)

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FR2907660A1 (en) * 2006-10-25 2008-05-02 Small Bone Innovations Interna U-shaped foot plate elements assembly, has bosses at level of connecting zones of branches at rounded part, and holes arranged in zones and bosses, where holes receive connecting rods that connect ring and ring parts

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CN105583196B (en) * 2016-01-25 2018-08-10 湖南天雁机械有限责任公司 Turbocharger core oil rig

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SU1017311A1 (en) * 1981-07-09 1983-05-15 Курганский Научно-Исследовательский Институт Экспериментальной И Клинической Ортопедии И Травматологии Device for external osteosynthesis
WO1997030651A2 (en) * 1996-02-22 1997-08-28 E.I. Du Pont De Nemours And Company External fixation device with composite rings
RU2120248C1 (en) * 1996-04-25 1998-10-20 Российский научный центр "Восстановительная травматология и ортопедия" им.акад.Г.А.Илизарова Distractor for perosseous apparatus

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2907660A1 (en) * 2006-10-25 2008-05-02 Small Bone Innovations Interna U-shaped foot plate elements assembly, has bosses at level of connecting zones of branches at rounded part, and holes arranged in zones and bosses, where holes receive connecting rods that connect ring and ring parts

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