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CN111281635A - External noninvasive sustainable drafting device for three-dimensional correction of scoliosis - Google Patents

External noninvasive sustainable drafting device for three-dimensional correction of scoliosis Download PDF

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CN111281635A
CN111281635A CN202010126469.5A CN202010126469A CN111281635A CN 111281635 A CN111281635 A CN 111281635A CN 202010126469 A CN202010126469 A CN 202010126469A CN 111281635 A CN111281635 A CN 111281635A
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brace
support
hip
scoliosis
sustainable
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CN111281635B (en
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孟伟正
任文杰
王天云
翁孝刚
田林强
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Xinxiang Medical University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
    • A61F5/04Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
    • A61F5/042Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for extension or stretching
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
    • A61F5/0102Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F5/0104Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations without articulation

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Abstract

The invention provides an external noninvasive sustainable drafting device for three-dimensional correction of scoliosis, which comprises an upper end mechanical structure, a lower end mechanical structure and an Ilizarov metal drafting device arranged between the upper end mechanical structure and the lower end mechanical structure, wherein the upper end mechanical structure sequentially comprises a jaw plate, a neck pillow brace and an upper chest brace from top to bottom; the lower end mechanical structure is a hip and hip brace. The invention achieves the aim of correcting by using the natural structure of the human body as a supporting point to implement the vertically corresponding longitudinal sustainable drafting action on the upper end and the lower end of the scoliosis deformity, and solves the problems that the correcting supporting point is single, the noninvasive sustainable drafting technology is lacked, and the individual adaptability and the use flexibility of the scoliosis correction under different conditions are not strong in the process of correcting the scoliosis.

Description

一种脊柱侧凸畸形三维矫正的体外无创可持续牵伸装置An external non-invasive sustainable stretching device for three-dimensional correction of scoliosis deformity

技术领域technical field

本发明涉及医疗器械领域,具体涉及一种脊柱侧凸畸形三维矫正的体外无创可持续牵伸装置。The invention relates to the field of medical devices, in particular to an external non-invasive sustainable stretching device for three-dimensional correction of scoliosis deformity.

背景技术Background technique

脊柱侧凸的治疗具有极大的挑战性,尤其是人体发育成熟前的青少年脊柱侧凸、伴骨盆畸形的脊柱侧凸和各种类型的严重脊柱侧凸。传统的各种非手术治疗效果极差,手术治疗方法无论哪一种都是在牺牲活动关节的基础上、尽最大可能恢复脊柱的纵向序列结构而达到矫形目的,而且手术难度极大,风险较高,大多数三甲医院甚至都难以普及开展。The treatment of scoliosis is extremely challenging, especially in pre-maturity adolescent scoliosis, scoliosis with pelvic deformity, and various types of severe scoliosis. Various traditional non-surgical treatments have extremely poor results. No matter which surgical treatment method is based on sacrificing movable joints, the longitudinal sequence structure of the spine is restored as much as possible to achieve the purpose of orthopedics, and the operation is extremely difficult and the risk is relatively high. High, most of the top three hospitals are even difficult to popularize.

由于脊柱侧凸畸形的复杂性,单一的治疗方式并不能适用于所有的患者。如何根据畸形的部位和程度选择适当的矫正方法,仍然是至今没有得到很好解决的问题。对于青少年特发性脊柱侧凸(AIS),轻症者(Cobb角10-40度)可以通过支具治疗,但是目前支具技术的研究仍存在许多空白,如针对旋转椎体的矫正作用、矫形力的具体大小及方向、动态调整矫正方案以及优化支具人因学设计等,故支具的矫正效果不佳;对于重度患者(Cobb角大于40度),非融合手术技术是其治疗的发展方向,其核心内容为通过对脊柱施以纵向可持续牵伸力量达到矫形目的。而对于重度僵硬型患者及成人重度脊柱侧凸畸形患者,体外牵伸结合内固定亦为目前的发展趋势。通过内固定手术前的牵伸,可使僵硬弯曲的脊柱相对柔软伸直、神经及血管组织逐步适应改变,从而降低手术风险及手术难度。目前的可持续牵伸技术分为体内牵伸装置和体外牵伸装置。体内装置如各种生长棒技术为代表等,手术难度大,技术要求极高,材料价格昂贵,需定期手术切开牵伸,有断棒、内置物脱落等意外风险,难以普及,只适用于人体未发育成熟的早发性先天性脊柱侧凸患者。体外可持续牵伸装置,以各种Halo 牵引技术为代表等均为有创伤操作,需要金属针植入人体骨骼,上端需要颅骨植入钢针,存在严重颅脑损伤风险,而且由于上端着力点在颅骨而致整体牵伸力量有限,也会带来很多其他相关并发症,如针道感染、松动、颅神经麻痹等,影响牵引疗效、增加患者费用负担,并不能得到大多数学者认可,不能广泛推广使用。故目前需要一种无创伤应用的、缓慢的纵向可持续的牵伸技术来达到脊柱侧凸畸形的三维矫正目的。Due to the complexity of scoliosis, a single treatment modality is not suitable for all patients. How to choose an appropriate correction method according to the location and degree of deformity is still an unsolved problem. For adolescent idiopathic scoliosis (AIS), mild cases (Cobb angle of 10-40 degrees) can be treated with braces, but there are still many gaps in the current research on brace technology, such as the correction of vertebral body rotation, The specific size and direction of the orthopedic force, the dynamic adjustment of the correction plan, and the optimization of the ergonomic design of the brace, etc., the correction effect of the brace is not good; for severe patients (the Cobb angle is greater than 40 degrees), non-fusion surgical techniques are their treatment. The core content of the development direction is to achieve the purpose of orthopedics by applying longitudinal and sustainable stretching force to the spine. For severe rigid patients and adult patients with severe scoliosis, external stretching combined with internal fixation is also the current development trend. By stretching before internal fixation surgery, the rigid and curved spine can be relatively soft and straightened, and the nerve and vascular tissue can gradually adapt to the changes, thereby reducing the risk and difficulty of surgery. Current sustainable stretching techniques are divided into in vivo stretching devices and extracorporeal stretching devices. In vivo devices, such as various growth rod technologies, are difficult to operate, require extremely high technical requirements, and require expensive materials. Periodic surgical incision and stretching are required, and there are accidental risks such as broken rods and internal components falling off. It is difficult to popularize and is only suitable for Human immature patients with early-onset congenital scoliosis. External sustainable stretching devices, represented by various Halo traction techniques, are traumatic operations, requiring metal needles to be implanted into human bones, and steel needles to be implanted into the skull at the upper end. There is a risk of serious craniocerebral injury. The overall stretching force in the skull is limited, and it will also bring many other related complications, such as needle tract infection, loosening, cranial nerve palsy, etc., which affect the efficacy of traction and increase the cost burden of patients, which cannot be recognized by most scholars. Widespread use. Therefore, a non-invasive, slow longitudinal and sustainable stretching technique is currently needed to achieve the purpose of three-dimensional correction of scoliosis deformity.

中国专利申请201811237786 .3,记载了一种“一种脊柱侧弯矫正器”。其涉及到了脊柱侧弯矫正过程中的治疗矫正器具,其在结构上包括纠正竖撑,纠正竖撑上设置有沿左右方向延伸的纠正横撑,纠正横撑上沿左右方向导向移动装配有脊柱纠正片,脊柱侧弯纠正器还包括用于向所述脊柱纠正片施加朝向纠正竖撑方向弹性作用力的弹性件,其矫正结构较为单一且使用不灵活,缺乏对于矫正时颈部着力点的利用,且其结构相对固定,相对不同年龄、不同类型的脊柱侧凸治疗时,定制化和个体适应性不强。Chinese patent application 201811237786.3 describes a "scoliosis corrector". It relates to a treatment and correction device in the process of scoliosis correction, which includes a correction vertical support in structure, a correction horizontal support extending along the left and right directions is arranged on the correction vertical support, and a spinal column is installed on the correction horizontal support to guide and move in the left and right directions. Correction sheet, the scoliosis corrector also includes an elastic member for applying elastic force to the spine correction sheet in the direction of correcting the vertical support, the correction structure is relatively simple, the use is inflexible, and it lacks the ability to focus on the neck during correction. Compared with different ages and different types of scoliosis treatment, customization and individual adaptability are not strong.

发明内容SUMMARY OF THE INVENTION

为了解决现有技术中脊柱侧凸矫正过程中矫正支撑点较为单一、对于不同情况的脊柱侧凸矫正的个体适应性和使用灵活性不强的问题。本发明提出一种个体化、模块化、组合式且适用于不同年龄、不同类型的脊柱侧凸畸形三维矫正的体外无创可持续牵伸装置。In order to solve the problems in the prior art that the correction support point is relatively single in the process of scoliosis correction, and the individual adaptability and flexibility of use for scoliosis correction in different situations are not strong. The present invention proposes an individualized, modularized and combined external non-invasive and sustainable stretching device suitable for three-dimensional correction of scoliosis deformities of different ages and types.

一种脊柱侧凸畸形三维矫正的体外无创可持续牵伸装置,包括上端机械结构、下端机械结构以及设置在上端机械结构和下端机械结构间的Ilizarov金属牵伸器,所述上端机械结构由上至下依次为颌骨支板、颈枕部支具以及上胸部支具,所述颌骨支板与颈枕部支具的顶部内侧转动连接,所述颈枕部支具的底部与上胸部支具间通过螺杆连接;所述下端机械结构为髋臀部支具;所述Ilizarov金属牵伸器为周向布设于上胸部支具与髋臀部支具之间外围的伸缩调节杆以及周向布设于颈枕部支具与髋臀部支具间的相连接的转接杆和伸缩调节杆,所述伸缩调节杆均为竖直状态。An in vitro non-invasive sustainable stretching device for three-dimensional correction of scoliosis, comprising an upper end mechanical structure, a lower end mechanical structure, and an Ilizarov metal stretcher arranged between the upper end mechanical structure and the lower end mechanical structure, and the upper end mechanical structure consists of an upper end mechanical structure and a lower end mechanical structure. From the bottom to the bottom are the jawbone support plate, the cervical and occipital support, and the upper chest support. The supports are connected by screws; the lower mechanical structure is a hip buttocks support; the Ilizarov metal stretcher is a telescopic adjustment rod circumferentially arranged between the upper chest support and the hip buttocks support and a circumferentially arranged The connecting rod and the telescopic adjustment rod are connected between the neck pillow support and the hip buttock support, and the telescopic adjustment rod is in a vertical state.

进一步地,所述颌骨支板至少为左右两片,至少在左右两个方向上对颌骨形成支承。Further, the jawbone support plates are at least two left and right pieces, and support the jawbone in at least two left and right directions.

进一步地,所述颌骨支板与颈枕部支具连接处均设置有转动关节,所述转动关节包括内部中空的转筒以及套合在转筒内的转轴,所述转筒中部的侧壁上开设有矩形的窗口,所述转轴中部设置有穿过窗口的颌骨支板连接端且颌骨支板连接端在窗口中以转轴为中心转动。Further, the joints between the jawbone support plate and the neck and pillow support are provided with rotating joints, and the rotating joints include an inner hollow rotating cylinder and a rotating shaft sleeved in the rotating cylinder. A rectangular window is opened on the wall, the middle part of the rotating shaft is provided with a connecting end of the mandibular support plate passing through the window, and the connecting end of the mandibular support plate rotates around the rotating shaft in the window.

进一步地,所述颈枕部支具、上胸部支具以及髋臀部支具均为与人体相应部位契合的壳状模型,其中骨质突出部及腋部、下颌骨处增设有软内衬,颈枕部支具后方设置有与人体颈枕部贴合的曲面结构,颈枕部支具、上胸部支具以及髋臀部支具均分为左右或前后两部的分体式且两部之间通过排扣连接。Further, the neck and pillow support, the upper chest support and the hip buttock support are all shell-shaped models that fit the corresponding parts of the human body, wherein the bony protrusions, the armpits, and the mandible are additionally provided with soft inner linings, The back of the neck and pillow support is provided with a curved surface structure that fits the human neck and pillow. The neck and pillow support, the upper chest support and the hip buttock support are divided into left and right or front and rear parts. Connected by button.

进一步地,所述上胸部支具的顶部与颈枕部支具底部均设置有环形外沿,所述螺杆上下两端分别与上胸部支具的顶部与颈枕部支具底部的环形外沿通过螺母固定连接。Further, the top of the upper chest brace and the bottom of the cervical pillow brace are provided with an annular outer edge, and the upper and lower ends of the screw are respectively connected with the top of the upper chest brace and the annular outer edge of the bottom of the cervical pillow brace. Secure the connection with a nut.

进一步地,所述伸缩调节杆包括由上至下依次设置的空心支杆、调节旋块以及直径小于空心支杆内壁直径的螺纹支杆,所述空心支杆的下端插设于调节旋块的上半部且空心支杆和调节旋块之间设置有轴承,所述轴承的内圈与空心支杆固定连接、外圈与调节旋块固定连接,所述螺纹支杆上端与调节旋块的下半部螺纹连接且可穿过调节旋块进入空心支杆内部。Further, the telescopic adjustment rod includes a hollow support rod, an adjustment rotary block and a threaded support rod with a diameter smaller than the diameter of the inner wall of the hollow support rod, which are arranged in sequence from top to bottom, and the lower end of the hollow support rod is inserted into the adjustment rotary block. A bearing is arranged between the upper half and the hollow support rod and the adjusting rotary block. The inner ring of the bearing is fixedly connected with the hollow support rod, and the outer ring is fixedly connected with the adjusting rotary block. The upper end of the threaded support rod is connected with the adjusting rotary block. The lower half is threaded and can pass through the adjusting knob to enter the hollow strut.

进一步地,所述轴承上方设置有防尘盖,所述调节旋块上方设置有包裹其的钟形保护罩。Further, a dust cover is arranged above the bearing, and a bell-shaped protective cover is arranged above the adjusting rotary block.

进一步地,所述上胸部支具与髋臀部支具外围均设置有固定环,上胸部支具与髋臀部支具之间的所述伸缩调节杆的上下两端均与固定环通过螺母固定连接,颈枕部支具与髋臀部支具之间的伸缩调节杆下端与髋臀部支具上的固定环连接,上端与转接杆转动连接,所述转接杆另一端与颈枕部支具的环形外沿转动连接。Further, the periphery of the upper chest support and the hip buttock support are provided with a fixing ring, and the upper and lower ends of the telescopic adjustment rod between the upper chest support and the hip buttock support are fixedly connected with the fixing ring through nuts. , the lower end of the telescopic adjustment rod between the neck pillow support and the hip buttocks support is connected with the fixing ring on the hip buttocks support, the upper end is rotatably connected with the transfer rod, and the other end of the transfer rod is connected with the neck pillow support The annular outer edge of the rotating connection.

进一步地,上胸部支具与髋臀部支具之间的所述伸缩调节杆的数量为4~6根且其中部设置有周向连接各伸缩调节杆的加强环,其中一加强环设置于腋下部位,颈枕部支具与髋臀部支具之间的伸缩调节杆和转接杆的数量为2~4组。Further, the number of the telescopic adjustment rods between the upper chest support and the hip buttock support is 4 to 6, and a reinforcing ring for circumferentially connecting each telescopic adjustment rod is arranged in the middle, and one of the reinforcing rings is arranged in the armpit. In the lower part, the number of telescopic adjustment rods and adapter rods between the cervical pillow support and the hip buttock support is 2 to 4 groups.

进一步地,所述固定环、加强环环形外沿均为金属制成的分体式的椭圆环,其中固定环与上胸部支具或髋臀部支具的分体方式相同,环形外沿与上胸部支具和颈枕部支具的分体方式相同。Further, the fixed ring and the annular outer edge of the reinforcing ring are all split elliptical rings made of metal, wherein the fixed ring is the same as the split mode of the upper chest brace or the hip buttock brace, and the annular outer edge is the same as the upper chest brace. The splitting of the brace and the cervico-occipital brace is the same.

与现有技术相比,本发明的有益效果是:Compared with the prior art, the beneficial effects of the present invention are:

本发明提出一种脊柱侧凸畸形三维矫正的体外无创可持续牵伸装置,通过设置的与人体相应部位相契合的上端机械结构、下端机械结构对人体的胸部、颈枕部及髋臀部形成着力支撑并通过Ilizarov金属牵伸器进行可调节的持续牵伸,由于脊柱侧凸在发育过程中,与人体习惯相矛盾的,易在脊柱侧凸的主弯之外产生代偿弯,即人体脊柱易出现旋转的情况,为此本发明中上、下端竖直对应的可持续牵伸装置既可对脊柱侧凸的主弯形成矫正、又可对脊柱的旋转进行较好的矫正,且与人体相应部位契合的各支撑部件为上下对应的牵伸提供了良好的牵伸支撑点。The invention provides an external non-invasive and sustainable stretching device for three-dimensional correction of scoliosis deformity. The upper end mechanical structure and the lower end mechanical structure are arranged to fit the corresponding parts of the human body to form a force on the chest, neck and pillow, hip and buttocks of the human body. Support and adjustable continuous stretching through Ilizarov metal stretcher, because scoliosis is in the process of development, contradicting human habits, it is easy to generate compensatory curves outside the main curve of scoliosis, that is, the human spine Rotation is easy to occur. Therefore, the sustainable stretching device corresponding to the upper and lower ends of the present invention can not only correct the main curve of scoliosis, but also better correct the rotation of the spine, and is compatible with the human body. The supporting parts that fit in the corresponding parts provide a good drafting support point for the up and down corresponding drafting.

其中上胸部支具中的上部躯干轮廓、腋下部位提供牵伸的支撑点,颈枕部支具中与人体颈部贴合的环头颅枕部形成与人体贴合的颈枕部支撑点,颌骨支板则承接最上端颌骨处的牵伸支撑点,颈枕部支具与上胸部支具固定连接,联结颌骨和上胸处的支撑力共同形成人体上端的牵伸支撑点;颌骨支板与颈枕部支具通过转动关节进行连接,在颌骨下方形成支承的同时对实现了颌骨支板在一定范围内的可活动性,方便人体头部的微小活动。Among them, the upper torso contour and the armpit in the upper chest brace provide support points for stretching, and the ring-head pillow in the neck and pillow brace that fits with the human neck forms a support point for the neck and pillow that fits with the human body. The jawbone support plate undertakes the stretching support point at the uppermost jawbone, and the cervical and occipital support is fixedly connected with the upper chest support, connecting the supporting force of the jawbone and the upper chest to form the stretching support point at the upper end of the human body; The mandibular support plate and the cervical and occipital support are connected by rotating joints, and while forming a support under the jaw, the mobility of the mandibular support plate within a certain range is realized, which is convenient for the small movement of the human head.

髋臀部支具与髋臀部结合的过程中人体两侧髋骨供强而有力的支撑点,上胸部支具与髋臀部支具间的伸缩调节杆以及颈枕部支具和髋臀部支具间的伸缩调节杆和转接杆分别承接人体上部和下部的作用力,对人体上部形成向上、人体下部形成向下的总体牵伸力,每根伸缩调节杆只需旋动调节旋块即可均可方便的实现其长度的灵活调节,在进行牵伸矫正时调节方便,同时保护罩的设置防止了平时活动时对调节旋块的误触。The hip bones on both sides of the human body provide strong and powerful support points during the combination of the hip and hip support, the telescopic adjustment rod between the upper chest support and the hip buttock support, and the space between the neck pillow support and the hip buttock support The telescopic adjustment rod and the transfer rod respectively undertake the force of the upper and lower parts of the human body, forming an upward overall drafting force for the upper part of the human body and the lower part of the human body to form a downward overall drafting force. The flexible adjustment of its length can be easily realized, and it is convenient to adjust during drafting correction, and at the same time, the setting of the protective cover prevents the wrong touch of the adjusting rotary block during normal activities.

通过颈枕部支具、上胸部支具、髋臀部支具、固定环以及加强环在左右或前后两部的分体式可拆分设置,使整个脊柱侧凸畸形三维矫正的体外无创可持续牵伸装置穿戴方便且使用灵活,即使出现治疗过程中需要调整某个牵伸装置,通过其他装置的连接也能保证牵伸处于可持续状态。Through the splitting of the cervical and occipital support, the upper chest support, the hip buttock support, the fixing ring and the reinforcement ring in the left and right or front and rear parts, the external non-invasive and sustainable traction of the entire scoliosis deformity can be corrected in vitro. The stretching device is easy to wear and flexible to use. Even if a certain stretching device needs to be adjusted during the treatment, the connection of other devices can ensure that the stretching is in a sustainable state.

附图说明Description of drawings

图1是本发明一种脊柱侧凸畸形三维矫正的体外无创可持续牵伸装置的整体结构示意图一。FIG. 1 is a schematic diagram 1 of the overall structure of an external non-invasive sustainable stretching device for three-dimensional correction of scoliosis deformity according to the present invention.

图2是本发明一种脊柱侧凸畸形三维矫正的体外无创可持续牵伸装置的整体结构示意图二。Fig. 2 is a schematic diagram 2 of the overall structure of an external non-invasive sustainable stretching device for three-dimensional correction of scoliosis deformity according to the present invention.

图3是本发明一种脊柱侧凸畸形三维矫正的体外无创可持续牵伸装置的整体结构示意图三。FIG. 3 is a schematic diagram 3 of the overall structure of an external non-invasive sustainable stretching device for three-dimensional correction of scoliosis deformity according to the present invention.

图4是本发明一种脊柱侧凸畸形三维矫正的体外无创可持续牵伸装置的整体结构示意图四。FIG. 4 is a schematic diagram 4 of the overall structure of an external non-invasive sustainable stretching device for three-dimensional correction of scoliosis deformity according to the present invention.

图5是本发明一种脊柱侧凸畸形三维矫正的体外无创可持续牵伸装置的上胸部支具结构示意图。FIG. 5 is a schematic structural diagram of the upper chest brace of an external non-invasive sustainable stretching device for three-dimensional correction of scoliosis deformity according to the present invention.

图6是本发明一种脊柱侧凸畸形三维矫正的体外无创可持续牵伸装置的颈枕部支具结构示意图。FIG. 6 is a schematic structural diagram of a cervical and occipital brace of an external non-invasive sustainable stretching device for three-dimensional correction of scoliosis deformity according to the present invention.

图7是本发明一种脊柱侧凸畸形三维矫正的体外无创可持续牵伸装置的髋臀部支具结构示意图。7 is a schematic structural diagram of a hip buttock brace of an external non-invasive sustainable stretching device for three-dimensional correction of scoliosis deformity according to the present invention.

图8是本发明一种脊柱侧凸畸形三维矫正的体外无创可持续牵伸装置的伸缩调节杆结构示意图。FIG. 8 is a schematic structural diagram of a telescopic adjustment rod of an in vitro non-invasive sustainable stretching device for three-dimensional correction of scoliosis deformity according to the present invention.

图9是本发明一种脊柱侧凸畸形三维矫正的体外无创可持续牵伸装置的伸缩调节杆爆炸结构示意图。FIG. 9 is a schematic diagram of an exploded structure of a telescopic adjustment rod of an in vitro non-invasive sustainable stretching device for three-dimensional correction of scoliosis deformity according to the present invention.

图10是本发明一种脊柱侧凸畸形三维矫正的体外无创可持续牵伸装置的带有保护罩的伸缩调节杆结构示意图。10 is a schematic structural diagram of a telescopic adjustment rod with a protective cover of an external non-invasive sustainable stretching device for three-dimensional correction of scoliosis deformity according to the present invention.

图11是本发明一种脊柱侧凸畸形三维矫正的体外无创可持续牵伸装置的伸缩调节杆和转接杆连接结构示意图。Figure 11 is a schematic diagram of the connection structure of the telescopic adjustment rod and the adapter rod of an external non-invasive sustainable stretching device for three-dimensional correction of scoliosis deformity according to the present invention.

图12是本发明一种脊柱侧凸畸形三维矫正的体外无创可持续牵伸装置的转动关节结构示意图。Fig. 12 is a schematic diagram of the rotating joint structure of an external non-invasive sustainable stretching device for three-dimensional correction of scoliosis deformity according to the present invention.

附图标号为:1为颌骨支板,2为颈枕部支具,3为上胸部支具,4为髋臀部支具,5为伸缩调节杆,6为转筒,7为转轴,8为窗口,9为颌骨支板连接端,10为排扣,11为空心支杆,12为调节旋块,13为螺纹支杆,14为轴承,15为防尘盖,16为保护罩,17为固定环,18为加强环,19为环形外沿,20为螺杆,21为转接杆,22为转动关节。The reference numerals are: 1 is the jaw support plate, 2 is the cervical and occipital support, 3 is the upper chest support, 4 is the hip buttocks support, 5 is the telescopic adjustment rod, 6 is the rotating cylinder, 7 is the rotating shaft, 8 is the window, 9 is the connecting end of the jaw support plate, 10 is the buckle, 11 is the hollow support rod, 12 is the adjusting rotary block, 13 is the threaded support rod, 14 is the bearing, 15 is the dust cover, 16 is the protective cover, 17 is a fixing ring, 18 is a reinforcing ring, 19 is an annular outer edge, 20 is a screw rod, 21 is an adapter rod, and 22 is a rotating joint.

具体实施方式Detailed ways

下面结合附图和具体实施例对本发明作进一步解释说明:Below in conjunction with the accompanying drawings and specific embodiments, the present invention will be further explained:

如图 1~12所示,一种脊柱侧凸畸形三维矫正的体外无创可持续牵伸装置,包括上端机械结构、下端机械结构以及设置在上端机械结构和下端机械结构间的Ilizarov金属牵伸器,所述上端机械结构由上至下依次为颌骨支板1、颈枕部支具2以及上胸部支具3,所述颌骨支板1与颈枕部支具2的顶部内侧转动连接,所述颈枕部支具2的底部与上胸部支具3间通过螺杆20连接;所述下端机械结构为髋臀部支具4;所述Ilizarov金属牵伸器为周向布设于上胸部支具3与髋臀部支具4之间外围的伸缩调节杆5以及周向布设于颈枕部支具2与髋臀部支具4间的相连接的转接杆21和伸缩调节杆5,所述伸缩调节杆5均为竖直状态。As shown in Figures 1 to 12, an in vitro non-invasive sustainable stretching device for three-dimensional correction of scoliosis includes an upper mechanical structure, a lower mechanical structure, and an Ilizarov metal stretcher disposed between the upper mechanical structure and the lower mechanical structure , the upper mechanical structure from top to bottom is the jawbone support plate 1, the cervical and occipital supporter 2 and the upper chest supporter 3, and the jawbone support plate 1 is rotatably connected with the top inner side of the cervical and occipital supporter 2 , the bottom of the cervical pillow support 2 and the upper chest support 3 are connected by a screw 20; the lower mechanical structure is the hip buttock support 4; the Ilizarov metal stretcher is circumferentially arranged on the upper chest support The peripheral telescopic adjustment rod 5 between the tool 3 and the hip buttocks support 4 and the connected adapter rod 21 and the telescopic adjustment rod 5 circumferentially arranged between the neck pillow support 2 and the hip buttocks support 4, the said The telescopic adjustment rods 5 are all in a vertical state.

具体的,所述颌骨支板1至少为左右两片,至少在左右两个方向上对颌骨形成支承;所述颌骨支板1与颈枕部支具2连接处均设置有转动关节22,所述转动关节22包括内部中空的转筒6以及套合在转筒6内的转轴7,所述转筒6中部的侧壁上开设有矩形的窗口8,所述转轴7中部设置有穿过窗口8的颌骨支板连接端9且颌骨支板连接端9在窗口8中以转轴7为中心转动。Specifically, the jawbone support plate 1 is at least two pieces on the left and right, and supports the jawbone in at least two directions on the left and right; the joints between the jawbone support plate 1 and the cervical and occipital supporter 2 are provided with rotating joints 22. The rotating joint 22 includes a rotating drum 6 that is hollow inside and a rotating shaft 7 that is sleeved in the rotating drum 6. A rectangular window 8 is opened on the side wall of the middle part of the rotating drum 6, and the middle part of the rotating shaft 7 is provided with a rectangular window 8. The connecting end 9 of the mandibular support plate passes through the window 8 and the connecting end 9 of the mandibular support plate rotates in the window 8 with the rotation axis 7 as the center.

所述颈枕部支具2、上胸部支具3以及髋臀部支具4均为与人体相应部位契合的壳状模型,其中骨质突出部及腋部、下颌骨处增设有软内衬,颈枕部支具2后方设置有与人体颈枕部贴合的曲面结构,颈枕部支具2、上胸部支具3以及髋臀部支具4均分为左右或前后两部的分体式且两部之间通过排扣10连接。The neck and pillow support 2, the upper chest support 3 and the hip buttock support 4 are all shell-shaped models that fit the corresponding parts of the human body, wherein the bony protrusions, the armpits, and the mandible are additionally provided with soft inner linings, The back of the neck and pillow supporter 2 is provided with a curved surface structure that fits with the human body's neck and pillow. The neck and pillow supporter 2, the upper chest supporter 3 and the hip buttocks support 4 are divided into left and right or front and rear parts. The two parts are connected by a buckle 10.

所述上胸部支具3的顶部与颈枕部支具2底部均设置有环形外沿19,所述螺杆20上下两端分别与上胸部支具3的顶部与颈枕部支具2底部的环形外沿19通过螺母固定连接。The top of the upper chest brace 3 and the bottom of the cervical pillow 2 are provided with an annular outer edge 19, and the upper and lower ends of the screw 20 are respectively connected to the top of the upper chest brace 3 and the bottom of the cervical pillow 2. The annular outer edge 19 is fixedly connected by a nut.

所述伸缩调节杆5包括由上至下依次设置的空心支杆11、调节旋块12以及直径小于空心支杆11内壁直径的螺纹支杆13,所述空心支杆11的下端插设于调节旋块12的上半部且空心支杆11和调节旋块12之间设置有轴承14,所述轴承14的内圈与空心支杆11固定连接、外圈与调节旋块12固定连接,所述螺纹支杆13上端与调节旋块12的下半部螺纹连接且可穿过调节旋块12进入空心支杆11内部;所述轴承14上方设置有防尘盖15,所述调节旋块12上方设置有包裹其的钟形保护罩16。The telescopic adjustment rod 5 includes a hollow support rod 11, an adjustment rotary block 12 and a threaded support rod 13 whose diameter is smaller than the inner wall diameter of the hollow support rod 11, which are arranged in sequence from top to bottom. The lower end of the hollow support rod 11 is inserted into the adjustment The upper half of the rotary block 12 and between the hollow support rod 11 and the adjustment rotary block 12 are provided with a bearing 14, the inner ring of the bearing 14 is fixedly connected with the hollow support rod 11, and the outer ring is fixedly connected with the adjustment rotary block 12, so The upper end of the threaded support rod 13 is threadedly connected with the lower half of the adjusting rotary block 12 and can enter the hollow support rod 11 through the adjusting rotary block 12; a dust cover 15 is provided above the bearing 14, and the adjusting rotary block 12 A bell-shaped protective cover 16 is provided above it.

进一步地,所述上胸部支具3与髋臀部支具4外围均设置有固定环17,上胸部支具3与髋臀部支具4之间的所述伸缩调节杆5的上下两端均与固定环17通过螺母固定连接,颈枕部支具2与髋臀部支具4之间的伸缩调节杆5下端与髋臀部支具4上的固定环17连接,上端与转接杆21转动连接,所述转接杆21另一端与颈枕部支具2的环形外沿19转动连接。Further, the periphery of the upper chest support 3 and the hip buttocks support 4 is provided with a fixing ring 17, and the upper and lower ends of the telescopic adjustment rod 5 between the upper chest support 3 and the hip buttocks support 4 are connected with each other. The fixing ring 17 is fixedly connected by a nut, the lower end of the telescopic adjusting rod 5 between the neck pillow support 2 and the hip buttocks support 4 is connected with the fixing ring 17 on the hip buttocks support 4, and the upper end is rotatably connected with the transfer rod 21, The other end of the adapter rod 21 is rotatably connected with the annular outer edge 19 of the neck-pillow supporter 2 .

进一步地,上胸部支具3与髋臀部支具4之间的所述伸缩调节杆5的数量为4~6根且其中部设置有周向连接各伸缩调节杆5的加强环18,其中一加强环18设置于腋下部位,颈枕部支具2与髋臀部支具4之间的伸缩调节杆5和转接杆21的数量为2~4组;所述固定环17、加强环18环形外沿20均为金属制成的分体式的椭圆环,其中固定环17与上胸部支具3或髋臀部支具4的分体方式相同,环形外沿20与上胸部支具3和颈枕部支具2的分体方式相同。Further, the number of the telescopic adjustment rods 5 between the upper chest brace 3 and the hip buttocks brace 4 is 4 to 6, and a reinforcing ring 18 circumferentially connecting the telescopic adjustment rods 5 is arranged in the middle, one of which is The reinforcement ring 18 is arranged at the underarm area, and the number of telescopic adjustment rods 5 and transfer rods 21 between the neck pillow support 2 and the hip buttock support 4 is 2 to 4 groups; the fixed ring 17 and the reinforcement ring 18 The annular outer edge 20 is a split elliptical ring made of metal, wherein the fixing ring 17 is in the same way as the upper chest support 3 or the hip buttock support 4, and the annular outer edge 20 is connected to the upper chest support 3 and the neck. The occipital support 2 is divided in the same way.

在实际使用时,首先预定上端机械结构、 下端固定机械结构区域取石膏模型,以与身体结构贴附不形成压迫为度。根据石膏模型选择合适的材料制作出相应的颌骨支板1、颈枕部支具2、上胸部支具3以及髋臀部支具4结构。In actual use, the upper end mechanical structure and the lower end fixed mechanical structure area are first predetermined to take a plaster model, so as to adhere to the body structure without causing compression. According to the plaster model, appropriate materials are selected to make the corresponding jaw bone support plate 1, neck and pillow support 2, upper chest support 3 and hip buttock support 4 structures.

病人进行脊柱侧凸畸形三维矫正的体外无创可持续牵伸装置的穿戴时,首先穿戴上胸部支具3和髋臀部支具4,两者的穿戴顺序不分先后,在具体穿戴时将分体式的上胸部支具3和髋臀部支具4分别与人体的相应部分相契合,分体的两部分间通过排扣10进行固定和调节松紧程度。When the patient wears the external non-invasive sustainable stretching device for the three-dimensional correction of scoliosis deformity, he first wears the upper chest brace 3 and the hip buttock brace 4, and the wearing order of the two is in no particular order. The upper chest support 3 and the hip buttock support 4 are respectively fitted with the corresponding parts of the human body, and the two parts of the split body are fixed and adjusted by the buckle 10 between the two parts.

接着将伸缩调节杆5的两端分别固定在上胸部支具3和髋臀部支具4上,伸缩调节杆5呈水平环状排列,设置数量为4~6个,并预留备用,其中空心支杆11的上部通过螺母固定在上胸部支具3上的固定环17上,螺纹支杆13的下部通过螺母固定在髋臀部支具4上的固定环17上,其连接连接固定方式不仅限于螺母固定,也可采用铆接或扣合等常见已知的固定方式进行固定,与固定环17上伸缩调节杆5固定方式类似的,将加强环18与各伸缩调节杆5间固定连接,起到加强伸缩调节杆5间结构强度的目的,同时腋下部位的加强18环也对腋下形成进一步的支撑,提高腋下受力的可靠性。Then, the two ends of the telescopic adjustment rods 5 are respectively fixed on the upper chest support 3 and the hip buttocks support 4. The telescopic adjustment rods 5 are arranged in a horizontal ring, and the number of the telescopic adjustment rods is 4 to 6, which are reserved for future use. The upper part of the strut 11 is fixed on the fixing ring 17 on the upper chest brace 3 through a nut, and the lower part of the threaded strut 13 is fixed on the fixing ring 17 on the hip buttock brace 4 through a nut. The connection and fixing methods are not limited to The nut can also be fixed by common and known fixing methods such as riveting or buckle. Similar to the fixing method of the telescopic adjustment rod 5 on the fixed ring 17, the reinforcing ring 18 is fixedly connected with each telescopic adjustment rod 5 to achieve The purpose of strengthening the structural strength between the 5 telescopic adjustment rods, and at the same time, the reinforcing 18 rings in the armpit also form further support for the armpit and improve the reliability of the armpit force.

随后将颈枕部支具2连同其上的颌骨支板1穿戴在相应部位,通过螺杆20和螺母将颈枕部支具2和上胸部支具3上的环形外沿19进行支撑连接,形成对颈部及以上的支撑且其支撑长度可根据病人情况以及治疗要求进行调节 ,其中螺杆20的数量为4个,然后另取2~4根伸缩调节杆5,其底端通过螺母固定在髋臀部支具4上的固定环17上,上端通过螺栓与转接杆21转动连接,转接杆21另一端与颈枕部支具2上的环形外沿19转动连接,此处两组转动连接均可通过调节关节处螺栓的松紧程度来实现其角度的固定,在通过转接杆21以及伸缩调节杆5对颈枕部支具2和髋臀部支具4间进行牵伸时,可合理调节转接杆21分别与颈枕部支具2及伸缩调节杆5的角度来保证伸缩调节杆5始终竖直状态,形成稳定牵伸作用的同时方便对不同病人灵活使用。Then, the cervical and occipital support 2 and the mandibular support plate 1 on it are put on the corresponding parts, and the annular outer edge 19 on the cervical and occipital support 2 and the upper chest support 3 are supported and connected by the screw 20 and the nut. The support for the neck and above is formed, and its support length can be adjusted according to the patient's condition and treatment requirements, wherein the number of screws 20 is 4, and then another 2 to 4 telescopic adjustment rods 5 are taken, and the bottom ends are fixed by nuts. On the fixing ring 17 on the hip buttock support 4, the upper end is rotatably connected with the adapter rod 21 through bolts, and the other end of the adapter rod 21 is rotatably connected with the annular outer edge 19 on the neck and occipital support 2, here two groups of rotation The angle of the connection can be fixed by adjusting the tightness of the bolts at the joints. When the extension rod 21 and the telescopic adjustment rod 5 are used to stretch between the neck and pillow support 2 and the hip buttock support 4, it can be reasonably Adjusting the angle of the adaptor rod 21 and the neck pillow support 2 and the telescopic adjustment rod 5 respectively ensures that the telescopic adjustment rod 5 is always in a vertical state, which forms a stable drafting effect and facilitates flexible use for different patients.

在伸缩调节杆5进行安装的同时要考虑到其长度与病人本身的契合程度,在安装过程中随时进行伸缩调节杆5长度的调节,其调节过程主要通过旋动调节旋块12来进行,调节过程的具体原理为:由于调节旋块12通过轴承14与空心支杆11形成转动连接且上下方向相对位置固定,以空心支杆11为轴心旋转调节旋块12时,与调节旋块12下部螺纹连接的螺纹支杆13因此进行向上或向下的竖直运动,达到调节伸缩调节杆5长度的目的。When installing the telescopic adjustment rod 5, the degree of fit between its length and the patient itself should be taken into consideration. During the installation process, the length of the telescopic adjustment rod 5 should be adjusted at any time. The adjustment process is mainly carried out by rotating the adjustment knob 12. The specific principle of the process is as follows: since the adjusting rotary block 12 forms a rotational connection with the hollow support rod 11 through the bearing 14 and the relative position in the up-down direction is fixed, when the adjusting rotary block 12 is rotated with the hollow support rod 11 as the axis, the lower part of the adjusting rotary block 12 is connected with the adjusting rotary block 12 . Therefore, the threaded support rod 13 in the threaded connection performs an upward or downward vertical movement to achieve the purpose of adjusting the length of the telescopic adjustment rod 5 .

综上,上胸部支具3中的上部躯干轮廓、腋下部位提供牵伸的支撑点,颌骨支板1则承接颌骨处的压力,颈枕部支具2中与人体颈部贴合的环头颅枕部形成与人体贴合的颈枕部支撑点,颈枕部支具2与上胸部支具3固定连接且可调节,联结颌骨、颈枕部和上胸部的支撑力共同形成人体上端的牵伸支撑点;颌骨支板1与颈枕部支具2通过转动关节22进行连接,其中转动关节22的窗口8限制了转轴7的转动幅度,在颌骨下方形成支承的同时对实现了颌骨支板在一定范围内的可活动性,方便人体头部的小范围活动。To sum up, the upper torso contour and the armpit in the upper chest brace 3 provide the support points for stretching, the jaw brace 1 bears the pressure at the jaw, and the cervical occipital brace 2 fits the human neck. The ring head and occiput form a support point of the neck and occiput that fits with the human body. The cervical occipital support 2 and the upper chest support 3 are fixedly connected and adjustable, and the supporting force connecting the jawbone, the cervical occiput and the upper chest is formed together. The stretching support point at the upper end of the human body; the jaw support plate 1 and the cervical and occipital support 2 are connected by a rotating joint 22, wherein the window 8 of the rotating joint 22 limits the rotation range of the rotating shaft 7, and forms a support under the jaw at the same time. The mobility of the mandibular support plate within a certain range is realized, which is convenient for the small-range movement of the human head.

髋臀部支具与髋臀部结合的过程人体两侧髋骨供强而有力的支撑点,上胸部支具3与髋臀部支具4间的伸缩调节杆5以及颈枕部支具2和髋臀部支具4间的伸缩调节杆5和转接杆21分别承接人体上部和下部的作用力,对人体上部形成向上、人体下部形成向下的总体牵伸力,每根伸缩调节杆5只需旋动调节旋块12即可均可方便的实现其长度的灵活调节,在进行牵伸矫正时调节方便,同时保护罩16的设置防止了平时活动时对调节旋块12的误触。The process of combining the hip and hip support with the hip and buttocks provides strong and powerful support points for the hip bones on both sides of the human body, the telescopic adjustment rod 5 between the upper chest support 3 and the hip buttock support 4, as well as the neck pillow support 2 and the hip buttocks The telescopic adjustment rod 5 and the transfer rod 21 between the braces 4 respectively receive the force of the upper part and the lower part of the human body, forming an upward overall drafting force for the upper part of the human body and the lower part of the human body, and each telescopic adjustment rod 5 only needs to be rotated. The length of the adjusting rotary block 12 can be easily adjusted flexibly by moving the adjusting rotary block 12 , which is convenient to adjust during drafting correction.

通过颈枕部支具2、上胸部支具3、髋臀部支具4、固定环17以及加强环18在左右或前后两部的分体式可拆分设置,使整个脊柱侧凸畸形三维矫正的体外无创可持续牵伸装置穿戴方便且使用灵活,由于脊柱侧凸在发育过程中,与人体习惯相矛盾的,易在脊柱侧凸的主弯之外产生代偿弯,即人体脊柱易出现旋转的情况,为此上、下端竖直对应的可持续牵伸装置既可对脊柱侧凸的主弯形成矫正、又可对脊柱的旋转进行较好的矫正,且与人体相应部位契合的各支撑部件为上下对应的牵伸提供了良好的牵伸支撑点;牵引能使挛缩的肌肉组织得到相应的松解,可使弯曲脊柱凹侧的椎体透明软骨间隙增宽,弯曲的脊柱逐渐变直,脊柱旋转及后凸得到最大程度的恢复,血管神经逐渐适应矫形后的状态,并可改善肺功能,因此本脊柱侧凸畸形三维矫正的体外无创可持续牵伸装置对脊柱进行持续牵伸更适用于不同年龄、不同类型的脊柱侧凸畸形。The cervical and occipital support 2, the upper chest support 3, the hip buttock support 4, the fixing ring 17 and the reinforcing ring 18 can be separated in the left and right or front and rear parts, so that the entire scoliosis deformity can be corrected in three dimensions. The external non-invasive sustainable stretching device is easy to wear and flexible to use. Since scoliosis is in the process of development, it is contradictory to human habits, and it is easy to generate compensatory curves outside the main curve of scoliosis, that is, the human spine is prone to rotation. For this reason, the upper and lower vertical corresponding sustainable stretching devices can not only correct the main curve of scoliosis, but also better correct the rotation of the spine, and each support that fits the corresponding parts of the human body The parts provide a good stretching support point for the upper and lower corresponding stretching; the traction can release the contracted muscle tissue accordingly, widen the hyaline cartilage space of the vertebral body on the concave side of the curved spine, and gradually straighten the curved spine , spinal rotation and kyphosis are restored to the greatest extent, blood vessels and nerves are gradually adapted to the state after correction, and lung function can be improved. Therefore, this external non-invasive sustainable stretching device for three-dimensional correction of scoliosis can continuously stretch the spine. Suitable for different ages and different types of scoliosis.

进行牵伸治疗时,通过Ilizarov牵伸器每日牵伸3-4mm,分6-8次完成,以病人可以耐受为度。一周后每日1-2mm,分6次完成。出现不适可以延缓牵伸速度甚至回缩,休息一定时期后继续牵伸,后期根据病人感受度灵活掌握,每日1-2mm为最佳程度。牵伸期间可以适度取下颌骨支板1以减轻下颌骨的压力并有一定的咀嚼活动,可以灵活使用该装置。也可以松开颈枕部支具2与上胸部支具3的螺杆,同时放松颈枕部支具2与髋臀部支具5间的伸缩调节杆5,使支撑力暂时分别作用于上胸部以缓解头颈部的压力,根据实际情况灵活使用该装置。当腋部出现压迫、上胸部出现不适情况或者上胸部支具3出现滑动时,松开颈枕部支具2与上胸部支具3的连接以及上胸部支具3与髋臀部支具4的连接,可使牵伸力只暂时作用于颈枕部,从而进一步进行上胸部支具3位置的调整。对于畸形较轻、脊柱柔软度好的患者甚至可以去掉颈枕部支具2和颌骨支板1而只使用上胸部支具3和髋臀部支具4进行牵伸治疗,或者交替使用以灵活调整部件。以此既可以调整各结构部件、又能保证牵伸力的持续,运用灵活方便。During the stretching treatment, the Ilizarov stretcher is used to stretch 3-4mm every day, divided into 6-8 times, to the extent that the patient can tolerate it. After a week, 1-2mm a day, 6 times to complete. If discomfort occurs, the stretching speed can be delayed or even retracted, and the stretching can be continued after a certain period of rest. In the later stage, it can be flexibly controlled according to the patient's feeling, and 1-2mm per day is the best degree. During the stretch, the mandibular support plate 1 can be removed moderately to reduce the pressure on the mandible and have a certain chewing activity, so the device can be used flexibly. It is also possible to loosen the screws of the neck pillow support 2 and the upper chest support 3, and at the same time loosen the telescopic adjustment rod 5 between the neck pillow support 2 and the hip buttock support 5, so that the supporting force temporarily acts on the upper chest respectively. Relieve the pressure on the head and neck, and use the device flexibly according to the actual situation. When the axilla is compressed, the upper chest is uncomfortable, or the upper chest support 3 slips, loosen the connection between the neck and pillow support 2 and the upper chest support 3 and the connection between the upper chest support 3 and the hip buttock support 4 The connection can make the stretching force only temporarily act on the neck and pillow, so as to further adjust the position of the upper chest brace 3. For patients with mild deformity and good spine flexibility, the cervical occipital support 2 and the jaw support 1 can even be removed and only the upper chest support 3 and the hip buttock support 4 can be used for stretching treatment, or alternately used for flexibility Adjust parts. In this way, each structural component can be adjusted, and the continuous drafting force can be ensured, and the operation is flexible and convenient.

以上所述之实施例,只是本发明的较佳实施例而已,并非限制本发明的实施范围,故凡依本发明专利范围所述的构造、特征及原理所做的等效变化或修饰,均应包括于本发明申请专利范围内。The above-mentioned embodiments are only preferred embodiments of the present invention and do not limit the scope of implementation of the present invention. Therefore, any equivalent changes or modifications made in accordance with the structures, features and principles described in the patent scope of the present invention are It should be included in the scope of the patent application of the present invention.

Claims (10)

1. An external noninvasive sustainable drafting device for three-dimensional correction of scoliosis comprises an upper end mechanical structure, a lower end mechanical structure and an Ilizarov metal drafting device arranged between the upper end mechanical structure and the lower end mechanical structure, and is characterized in that the upper end mechanical structure sequentially comprises a jaw plate (1), a neck pillow brace (2) and an upper chest brace (3) from top to bottom, the jaw plate (1) is rotatably connected with the inner side of the top of the neck pillow brace (2), and the bottom of the neck pillow brace (2) is connected with the upper chest brace (3) through a screw (20); the lower end mechanical structure is a hip and hip brace (4); the Ilizarov metal drawing device comprises a telescopic adjusting rod (5) which is circumferentially distributed on the periphery between an upper chest support (3) and a hip support (4) and an adapter rod (21) and a telescopic adjusting rod (5) which are circumferentially distributed between a neck occipital support (2) and the hip support (4) and are connected, wherein the telescopic adjusting rod (5) is in a vertical state.
2. The apparatus according to claim 1, wherein said jaw plates (1) are at least two left and right plates, which support the jaw in at least two directions.
3. The external noninvasive sustainable drawing device for three-dimensional correction of scoliosis as claimed in claim 1, wherein the joints of the jaw plate (1) and the neck pillow brace (2) are provided with rotary joints (22), each rotary joint (22) comprises a hollow drum (6) and a rotating shaft (7) sleeved in the drum (6), a rectangular window (8) is opened on the side wall of the middle part of the drum (6), the middle part of the rotating shaft (7) is provided with a jaw plate connecting end (9) passing through the window (8), and the jaw plate connecting end (9) rotates in the window (8) by taking the rotating shaft (7) as the center.
4. The external noninvasive sustainable drawing device for three-dimensional correction of scoliosis according to claim 1, wherein the occipital brace (2), the upper chest brace (3) and the hip-hip brace (4) are all shell-shaped models fitted with corresponding parts of human body, wherein soft linings are added at the bony prominence, axillary part and mandible part, a curved surface structure fitted with the occipital part of human body is arranged at the back of the occipital brace (2), and the occipital brace (2), the upper chest brace (3) and the hip-hip brace (4) are divided into left and right parts or front and back parts and are connected with each other through a row buckle (10).
5. The external noninvasive sustainable drawing device for three-dimensional correction of scoliosis as claimed in claim 1, wherein the top of the upper chest support (3) and the bottom of the neck pillow support (2) are both provided with an annular outer edge (19), and the upper and lower ends of the screw (20) are respectively fixedly connected with the annular outer edge (19) of the top of the upper chest support (3) and the bottom of the neck pillow support (2) through nuts.
6. The external noninvasive sustainable drafting device for three-dimensional correction of scoliosis according to claim 1, wherein the telescopic adjusting rod (5) comprises a hollow strut (11), an adjusting rotary block (12) and a threaded strut (13) with a diameter smaller than the inner wall diameter of the hollow strut (11), which are sequentially arranged from top to bottom, the lower end of the hollow strut (11) is inserted between the upper half of the adjusting rotary block (12) and the hollow strut (11) and the adjusting rotary block (12) to form a bearing (14), the inner ring of the bearing (14) is fixedly connected with the hollow strut (11), the outer ring is fixedly connected with the adjusting rotary block (12), the upper end of the threaded strut (13) is connected with the lower half of the adjusting rotary block (12) through threads, and the adjusting rotary block (12) enters the hollow strut (11).
7. The device for extracorporeal non-invasive sustainable drawing for three-dimensional correction of scoliosis according to claim 6, wherein a dust cover (15) is provided above the bearing (14), and a bell-shaped protective cover (16) is provided above the adjusting knob (12).
8. The external noninvasive sustainable drawing device for three-dimensional correction of scoliosis according to claim 1, wherein fixing rings (17) are respectively arranged on the peripheries of the upper chest brace (3) and the hip brace (4), the upper end and the lower end of the telescopic adjusting rod (5) between the upper chest brace (3) and the hip brace (4) are fixedly connected with the fixing rings (17) through nuts, the lower end of the telescopic adjusting rod (5) between the neck pillow brace (2) and the hip brace (4) is connected with the fixing rings (17) on the hip brace (4), the upper end of the telescopic adjusting rod is rotatably connected with an adapter rod (21), and the other end of the adapter rod (21) is rotatably connected with the annular outer edge (19) of the neck pillow brace (2).
9. The external noninvasive sustainable drawing device for three-dimensional correction of scoliosis according to claim 1, wherein the number of the telescopic adjusting rods (5) between the upper chest brace (3) and the hip brace (4) is 4-6, and the middle part of the telescopic adjusting rods (5) is provided with a reinforcing ring (18) for circumferentially connecting the telescopic adjusting rods (5), wherein one reinforcing ring (18) is arranged at the underarm part, and the number of the telescopic adjusting rods (5) and the number of the adapter rods (21) between the neck pillow brace (2) and the hip brace (4) are 2-4.
10. The external noninvasive sustainable drawing device for three-dimensional correction of scoliosis according to claim 8 or 9, wherein the fixing ring (17) and the reinforcing ring (18) have the annular outer edge (20) made of metal and are split elliptical rings, wherein the fixing ring (17) is split from the upper chest brace (3) or the hip-hip brace (4), and the annular outer edge (20) is split from the upper chest brace (3) and the neck-pillow brace (2).
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN119587239A (en) * 2024-11-20 2025-03-11 北京航空航天大学 A dynamic correction brace for scoliosis

Citations (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2038376U (en) * 1988-01-27 1989-05-31 北京市结核病研究所 Auto traction fixing support for thoracic vertebra and lumbar vertebra
CN1119521A (en) * 1994-09-29 1996-04-03 梅迪特拉克医疗设备有限公司 Lumbar traction apparatus
RU2249443C2 (en) * 2002-04-16 2005-04-10 Ефимов Анатолий Петрович Method for treating vertebral column pathologies
KR20090050917A (en) * 2007-11-16 2009-05-20 선동윤 Scoliosis brace with angle adjustment
KR100972123B1 (en) * 2010-05-14 2010-07-23 (주)힐닉스 The adjusted spinal orthoses
CN103190936A (en) * 2013-03-11 2013-07-10 黄义星 Automatic hooking device for minimally invasive surgical operation of cervicothoracic junction of spinal column
JP2013248224A (en) * 2012-06-01 2013-12-12 Nagano Gishi:Kk Corrective brace for scoliosis
CN103892953A (en) * 2014-04-23 2014-07-02 王黎锋 Spine malformation three-dimensional correction therapeutic instrument
WO2016094901A1 (en) * 2014-12-12 2016-06-16 Allen Carl Method and apparatus for treating scoliosis
CN205814503U (en) * 2016-06-22 2016-12-21 廖京建 A kind of Rachiocampis correction brace
CN108030979A (en) * 2017-12-20 2018-05-15 玉林市超伦再生资源有限公司 A kind of novel arc stent
CN207886326U (en) * 2017-03-24 2018-09-21 张永德 Backbone hyperextension type orthopedic apparatus
CN208625937U (en) * 2018-03-01 2019-03-22 黎兆攀 A kind of medical multidirectional adjustable type supporting implement for treating infant congenital brace of three axis
CN209437352U (en) * 2018-11-26 2019-09-27 孟伟正 Improvement tail end reinforcement type can be linked into formula tension band thick steel needle
CN110731850A (en) * 2019-11-20 2020-01-31 常州久沐医疗科技有限公司 Light-permeable bone fracture plate
CN212281813U (en) * 2020-02-28 2021-01-05 孟伟正 External noninvasive sustainable drafting device for three-dimensional correction of scoliosis

Patent Citations (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2038376U (en) * 1988-01-27 1989-05-31 北京市结核病研究所 Auto traction fixing support for thoracic vertebra and lumbar vertebra
CN1119521A (en) * 1994-09-29 1996-04-03 梅迪特拉克医疗设备有限公司 Lumbar traction apparatus
RU2249443C2 (en) * 2002-04-16 2005-04-10 Ефимов Анатолий Петрович Method for treating vertebral column pathologies
KR20090050917A (en) * 2007-11-16 2009-05-20 선동윤 Scoliosis brace with angle adjustment
KR100972123B1 (en) * 2010-05-14 2010-07-23 (주)힐닉스 The adjusted spinal orthoses
JP2013248224A (en) * 2012-06-01 2013-12-12 Nagano Gishi:Kk Corrective brace for scoliosis
CN103190936A (en) * 2013-03-11 2013-07-10 黄义星 Automatic hooking device for minimally invasive surgical operation of cervicothoracic junction of spinal column
CN103892953A (en) * 2014-04-23 2014-07-02 王黎锋 Spine malformation three-dimensional correction therapeutic instrument
WO2016094901A1 (en) * 2014-12-12 2016-06-16 Allen Carl Method and apparatus for treating scoliosis
CN205814503U (en) * 2016-06-22 2016-12-21 廖京建 A kind of Rachiocampis correction brace
CN207886326U (en) * 2017-03-24 2018-09-21 张永德 Backbone hyperextension type orthopedic apparatus
CN108030979A (en) * 2017-12-20 2018-05-15 玉林市超伦再生资源有限公司 A kind of novel arc stent
CN208625937U (en) * 2018-03-01 2019-03-22 黎兆攀 A kind of medical multidirectional adjustable type supporting implement for treating infant congenital brace of three axis
CN209437352U (en) * 2018-11-26 2019-09-27 孟伟正 Improvement tail end reinforcement type can be linked into formula tension band thick steel needle
CN110731850A (en) * 2019-11-20 2020-01-31 常州久沐医疗科技有限公司 Light-permeable bone fracture plate
CN212281813U (en) * 2020-02-28 2021-01-05 孟伟正 External noninvasive sustainable drafting device for three-dimensional correction of scoliosis

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN119587239A (en) * 2024-11-20 2025-03-11 北京航空航天大学 A dynamic correction brace for scoliosis

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