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CN111904567A - Shin bone tractor - Google Patents

Shin bone tractor Download PDF

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Publication number
CN111904567A
CN111904567A CN202010812746.8A CN202010812746A CN111904567A CN 111904567 A CN111904567 A CN 111904567A CN 202010812746 A CN202010812746 A CN 202010812746A CN 111904567 A CN111904567 A CN 111904567A
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column
threaded
blind hole
threaded rod
telescopic
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Inventor
滕文臣
张坤鹏
王其亮
季霞
邵怡
白晶
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Wenke Medical Technology Suzhou Co Ltd
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Wenke Medical Technology Suzhou Co Ltd
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Priority to CN202010812746.8A priority Critical patent/CN111904567A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/60Surgical 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
    • A61B17/66Alignment, compression or distraction mechanisms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/564Methods for bone or joint treatment

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a tibia retractor, and relates to the technical field of medical auxiliary instruments. The tibia retractor comprises a first bone traction needle and a second bone traction needle, and is characterized by further comprising a first telescopic piece and a second telescopic piece which are telescopic, wherein the first telescopic piece and the second telescopic piece are arranged in a mirror symmetry mode; and one end of the first bone traction needle passes through one end of the first telescopic piece, the other end of the first bone traction needle passes through one end of the second telescopic piece, one end of the second bone traction needle passes through the other end of the first telescopic piece, and the other end of the second bone traction needle passes through the other end of the second telescopic piece. The retractor can draw the bone at the fracture position, is convenient for medical personnel to reset the bone, can keep the state of the repaired bone, and avoids secondary injury in the operation process.

Description

一种胫骨牵引器A tibial distractor

技术领域technical field

本发明涉及医疗辅助器械技术领域,尤其涉及一种胫骨牵引器。The invention relates to the technical field of medical aids, in particular to a tibial distractor.

背景技术Background technique

现有技术中,患者骨折后,首先需要对患者的骨骼进行复位,在复位结束后再对患者进行医疗固定,在复位时,一般通过医疗人员对患者骨骼进行拉伸复位,由于医疗时间和对患者医治部位的不可控性,当医疗人员长期处于拉扯状态,医疗人员容易疲劳,且时间过久,拉扯的效果也不佳,当使用重物对患者骨骼将进行拉伸复位时,需要对患者骨骼其他方向进行修复的时,翻转比较困难,使骨科手术的手术质量降低,甚至会造成对患者造成的二次伤害。In the prior art, after a patient's fracture, the patient's bone needs to be reset first, and then the patient is medically fixed after the reset. During the reset, the patient's bone is generally stretched and reset by medical personnel. The uncontrollability of the patient's treatment part. When the medical staff is in a pulling state for a long time, the medical staff is easily fatigued, and the time is too long, and the pulling effect is not good. When using heavy objects to stretch and reset the patient's bones, it is necessary to When the bone is repaired in other directions, it is more difficult to turn it over, which reduces the quality of orthopedic surgery and even causes secondary damage to the patient.

发明内容SUMMARY OF THE INVENTION

为了解决上述存在的问题,本发明提出一种胫骨牵引器,该牵引器能够对牵拉骨折处骨骼,便于医疗人员进行骨骼复位,并且能够保持骨骼修复后的状态,避免手术过程中造成二次伤害。In order to solve the above-mentioned problems, the present invention proposes a tibial distractor, which can pull the bone at the fracture site, facilitate the medical personnel to reset the bone, and can maintain the state of the bone after repair, so as to avoid secondary injuries during the operation. harm.

为了实现上述目的,本发明采用以下方案,In order to achieve the above object, the present invention adopts the following scheme:

一种胫骨牵引器,包括第一骨牵引针和第二骨牵引针,其特征在于,可伸缩的第一伸缩件和可伸缩的第二伸缩件,A tibial distraction device, comprising a first bone distraction pin and a second bone distraction pin, characterized in that a retractable first retractable member and a retractable second retractable member,

且第一骨牵引针的一端穿过第一伸缩件的一端,第一骨牵引针的另一端穿过第二伸缩件的一端,And one end of the first bone distraction needle passes through one end of the first telescopic piece, and the other end of the first bone distraction needle passes through one end of the second telescopic piece,

且第二骨牵引针的一端穿过第一伸缩件的另一端,第二骨牵引针的另一端穿过第二伸缩件的另一端;And one end of the second bone distraction needle passes through the other end of the first telescopic piece, and the other end of the second bone distraction needle passes through the other end of the second telescopic piece;

第一伸缩件和第二伸缩件收缩到最短时,第一骨牵引针和第二骨牵引针相互平行,且所述第一伸缩件和第二伸缩件镜像对称设置。When the first telescopic piece and the second telescopic piece are contracted to the shortest point, the first bone distraction pin and the second bone distraction pin are parallel to each other, and the first telescopic piece and the second telescopic piece are arranged mirror-symmetrically.

进一步地,所述第一伸缩件的一端为第一柱,所述第一柱开有至少一个径向的第一通孔,且第一骨牵引针的一端穿过一个第一通孔;Further, one end of the first telescopic member is a first column, the first column is provided with at least one radial first through hole, and one end of the first bone distraction pin passes through a first through hole;

所述第一伸缩件的另一端为第二柱,所述第二柱开有至少一个径向的第二通孔,且第二骨牵引针的一端穿过一个第二通孔;The other end of the first telescopic member is a second column, the second column is provided with at least one radial second through hole, and one end of the second bone distraction pin passes through a second through hole;

第一柱和第二柱之间设有用于连接第一柱和第二柱的第一伸缩部;A first telescopic part for connecting the first column and the second column is arranged between the first column and the second column;

所述第二伸缩件的一端为第三柱,所述第三柱开有至少一个径向的第三通孔,且第一骨牵引针的另一端穿过一个第三通孔;One end of the second telescopic member is a third column, the third column is provided with at least one radial third through hole, and the other end of the first bone distraction pin passes through a third through hole;

所述第二伸缩件的另一端为第四柱,所述第四柱开有至少一个径向的第四通孔,且第二骨牵引针的另一端穿过一个第四通孔;The other end of the second telescopic member is a fourth column, the fourth column is provided with at least one radial fourth through hole, and the other end of the second bone distraction pin passes through a fourth through hole;

第三柱和第四柱之间设有用于连接第三柱和第四柱的第二伸缩部。A second telescopic part for connecting the third column and the fourth column is provided between the third column and the fourth column.

又进一步地,所述第一伸缩部包括第一螺纹杆,且第一螺纹杆的一端固定在第一柱的端面;Still further, the first telescopic part includes a first threaded rod, and one end of the first threaded rod is fixed on the end face of the first column;

第二螺纹杆,且第二螺纹杆的一端固定在第二柱的端面;及a second threaded rod, and one end of the second threaded rod is fixed on the end face of the second column; and

第五柱,所述第五柱开有径向的第一螺纹盲孔和径向的第二螺纹盲孔,第一螺纹盲孔和第二螺纹盲孔呈镜像对称,且第一螺纹盲孔的中轴线和第二螺纹盲孔的中轴线重合;The fifth column is provided with a radial first threaded blind hole and a radial second threaded blind hole, the first threaded blind hole and the second threaded blind hole are mirror-symmetrical, and the first threaded blind hole The central axis of the second threaded blind hole coincides with the central axis of the second threaded blind hole;

第一螺纹杆的另一端旋拧入第一螺纹盲孔,第二螺纹杆的另一端旋拧入第二螺纹盲孔;The other end of the first threaded rod is screwed into the first threaded blind hole, and the other end of the second threaded rod is screwed into the second threaded blind hole;

所述第二伸缩部包括第三螺纹杆,且第三螺纹杆的一端固定在第三柱的端面;The second telescopic part includes a third threaded rod, and one end of the third threaded rod is fixed on the end face of the third column;

第四螺纹杆,且第四螺纹杆的一端固定在第四柱的端面;及a fourth threaded rod, and one end of the fourth threaded rod is fixed to the end face of the fourth column; and

第六柱,所述第六柱开有径向的第三螺纹盲孔和径向的第四螺纹盲孔,第三螺纹盲孔和第四螺纹盲孔呈镜像对称,且第三螺纹盲孔的中轴线和第四螺纹盲孔的中轴线重合;The sixth column is provided with a radial third threaded blind hole and a radial fourth threaded blind hole, the third threaded blind hole and the fourth threaded blind hole are mirror-symmetrical, and the third threaded blind hole The central axis of the threaded blind hole coincides with the central axis of the fourth threaded blind hole;

第三螺纹杆的另一端旋拧入第三螺纹盲孔,第四螺纹杆的另一端旋拧入第四螺纹盲孔。The other end of the third threaded rod is screwed into the third threaded blind hole, and the other end of the fourth threaded rod is screwed into the fourth threaded blind hole.

更进一步地,所述第一螺纹杆的中轴线和第二螺纹杆的中轴线重合;且所述第一螺纹杆的螺纹旋向和第二螺纹杆的螺纹旋向相反。Further, the central axis of the first threaded rod coincides with the central axis of the second threaded rod; and the threading direction of the first threaded rod is opposite to that of the second threaded rod.

更进一步地,所述第三螺纹杆的中轴线和第四螺纹杆的中轴线重合;且所述第三螺纹杆的螺纹旋向和第四螺纹杆的螺纹旋向相反。Further, the central axis of the third threaded rod coincides with the central axis of the fourth threaded rod; and the thread rotation direction of the third threaded rod is opposite to that of the fourth threaded rod.

更进一步地,所述第五柱的端面开有轴向的第一插孔,所述第六柱的端面开有轴向的第二插孔;Further, the end surface of the fifth column is provided with an axial first insertion hole, and the end surface of the sixth column is provided with an axial second insertion hole;

所述胫骨牵引器还包括门型架,所述门型架包括The tibial distractor also includes a portal frame that includes

第一插杆,其一端插入第一插孔;a first insertion rod, one end of which is inserted into the first jack;

第二插杆,其一端插入第二插孔;a second insertion rod, one end of which is inserted into the second jack;

连接杆;Connecting rod;

第一连接块,其连接连接杆的一端以及第一插杆的另一端;a first connecting block, which connects one end of the connecting rod and the other end of the first inserting rod;

第二连接块,其连接连接杆的另一端以及第二插杆的另一端。The second connecting block is connected to the other end of the connecting rod and the other end of the second inserting rod.

本发明所述胫骨牵引器使用:骨折处断面两侧的骨骼分别打出骨牵引针的针孔,将第一伸缩件和第二伸缩件分别置于骨骼骨折处两侧,将第一骨牵引针依次穿过第一伸缩件的一端、针孔、第二伸缩件的一端,将第二骨牵引针依次穿过第一伸缩件的另一端、另一针孔、第二伸缩件的另一端,再将第一伸缩件和第二伸缩件均伸长,则可调整骨折处骨骼的位置,收缩第一伸缩件和第二伸缩件,完成复位,插上门型架以固定。The tibial distraction device of the present invention is used: the bones on both sides of the fractured section are respectively punched out the needle holes of the bone distraction needle, the first telescopic piece and the second telescopic piece are respectively placed on both sides of the bone fracture, and the first bone distraction needle is placed on both sides of the bone fracture. Pass through one end of the first telescopic piece, the needle hole, and one end of the second telescopic piece in sequence, and pass the second bone distraction needle through the other end of the first telescopic piece, the other needle hole, and the other end of the second telescopic piece in sequence, Extending both the first telescopic piece and the second telescopic piece, the position of the bone at the fracture can be adjusted, the first telescopic piece and the second telescopic piece are contracted, the reset is completed, and the portal frame is inserted for fixation.

本发明所述胫骨牵引器的优点在于:1)采用伸缩件来牵拉骨折处的骨骼,降低医疗人员的工作强度,从而提高骨折处的骨骼复位效果;2)骨折处的骨骼复位后,门型架可保持该状态,以保证后续手术进行时,不会对患者造成二次伤害;3)该装置结构简单,使用方便,稳定可靠。The advantages of the tibial distractor of the present invention are: 1) the use of telescopic parts to pull the bone at the fracture site reduces the work intensity of medical personnel, thereby improving the bone reduction effect at the fracture site; 2) after the bone at the fracture site is reset, the The frame can maintain this state to ensure that the subsequent operation will not cause secondary injury to the patient; 3) the device has a simple structure, is convenient to use, and is stable and reliable.

附图说明Description of drawings

图1本发明所述胫骨牵引器的结构示意图。Fig. 1 is a schematic structural diagram of the tibial distractor according to the present invention.

图2本发明所述胫骨牵引器的第五柱的半剖示意图。Fig. 2 is a half-section schematic view of the fifth column of the tibial distractor according to the present invention.

图3本发明所述胫骨牵引器的第六柱的半剖示意图。Fig. 3 is a half-section schematic view of the sixth column of the tibial distractor according to the present invention.

图中:1、第一伸缩件,11、第一柱,111、第一通孔,12、第二柱,121、第二通孔,13、第一螺纹杆,14、第二螺纹杆,15、第五柱,151、第一螺纹盲孔,152、第二螺纹盲孔,153、第一插孔;2、第二伸缩件,21、第三柱,211、第三通孔,22、第四柱,221、第四通孔,23、第三螺纹杆,24、第四螺纹杆,25、第六柱,251、第三螺纹盲孔,252、第四螺纹盲孔,253、第二插孔;3、骨牵引针,31、第一骨牵引针,32、第二骨牵引针;4、门型架,41、连接杆,42、第一连接块,43、第二连接块,44、第一插杆,45、第二插杆。In the figure: 1. The first telescopic piece, 11, the first column, 111, the first through hole, 12, the second column, 121, the second through hole, 13, the first threaded rod, 14, the second threaded rod, 15. Fifth column, 151, first threaded blind hole, 152, second threaded blind hole, 153, first jack; 2. Second telescopic piece, 21, third column, 211, third through hole, 22 , fourth column, 221, fourth through hole, 23, third threaded rod, 24, fourth threaded rod, 25, sixth column, 251, third threaded blind hole, 252, fourth threaded blind hole, 253, Second jack; 3. Bone distraction needle, 31, First bone distraction needle, 32, Second bone distraction needle; 4. Portal frame, 41, connecting rod, 42, first connecting block, 43, second connection Block, 44, first plunger, 45, second plunger.

具体实施方式Detailed ways

下面将结合附图对本发明技术方案的实施例进行详细的描述。以下实施例仅用于更加清楚地说明本发明的技术方案,因此只作为示例,而不能以此来限制本发明的保护范围。Embodiments of the technical solutions of the present invention will be described in detail below with reference to the accompanying drawings. The following examples are only used to more clearly illustrate the technical solutions of the present invention, and are therefore only used as examples, and cannot be used to limit the protection scope of the present invention.

需要注意的是,除非另有说明,本申请使用的技术术语或者科学术语应当为本发明所属领域技术人员所理解的通常意义。It should be noted that, unless otherwise specified, the technical or scientific terms used in this application should have the usual meanings understood by those skilled in the art to which the present invention belongs.

在本申请的描述中,需要理解的是,术语“中心”、“纵向”、“横向”、“长度”、“宽度”、“厚度”、“上”、“下”、“前”、“后”、“左”、“右”、“竖直”、“水平”、“顶”、“底”“内”、“外”、“顺时针”、“逆时针”、“轴向”、“径向”、“周向”等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本发明和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本发明的限制。In the description of this application, it should be understood that the terms "center", "longitudinal", "lateral", "length", "width", "thickness", "upper", "lower", "front", " Rear, Left, Right, Vertical, Horizontal, Top, Bottom, Inner, Outer, Clockwise, Counterclockwise, Axial, The orientations or positional relationships indicated by "radial direction", "circumferential direction", etc. are based on the orientations or positional relationships shown in the accompanying drawings, which are only for the convenience of describing the present invention and simplifying the description, rather than indicating or implying the indicated devices or elements. It must have a specific orientation, be constructed and operate in a specific orientation, and therefore should not be construed as a limitation of the present invention.

此外,术语“第一”、“第二”等仅用于描述目的,而不能理解为指示或暗示相对重要性或者隐含指明所指示的技术特征的数量。在本发明的描述中,“多个”的含义是两个以上,除非另有明确具体的限定。In addition, the terms "first", "second", etc. are used for descriptive purposes only, and should not be construed as indicating or implying relative importance or implying the number of indicated technical features. In the description of the present invention, "plurality" means two or more, unless otherwise expressly and specifically defined.

在本申请中,除非另有明确的规定和限定,术语“安装”、“相连”、“连接”、“固定”等术语应做广义理解,例如,可以是固定连接,也可以是可拆卸连接,或成一体;可以是机械连接,也可以是电连接;可以是直接相连,也可以通过中间媒介间接相连,可以是两个元件内部的连通或两个元件的相互作用关系。对于本领域的普通技术人员而言,可以根据具体情况理解上述术语在本发明中的具体含义。In this application, unless otherwise expressly specified and limited, the terms "installed", "connected", "connected", "fixed" and other terms should be understood in a broad sense, for example, it may be a fixed connection or a detachable connection , or integrated; it can be a mechanical connection or an electrical connection; it can be a direct connection or an indirect connection through an intermediate medium, and it can be the internal connection of the two elements or the interaction relationship between the two elements. For those of ordinary skill in the art, the specific meanings of the above terms in the present invention can be understood according to specific situations.

如图1所示,本实施例所述胫骨牵引器,包括第一骨牵引针31和第二骨牵引针32,还包括可伸缩的第一伸缩件1和可伸缩的第二伸缩件2;且第一骨牵引针31的一端穿过第一伸缩件1的一端,第一骨牵引针31的另一端穿过第二伸缩件2的一端,且第二骨牵引针32的一端穿过第一伸缩件1的另一端,第二骨牵引针32的另一端穿过第二伸缩件2的另一端,第一伸缩件1和第二伸缩件2收缩到最短时,第一骨牵引针31和第二骨牵引针32相互平行,且所述第一伸缩件1和第二伸缩件2镜像对称设置。As shown in FIG. 1 , the tibial distraction device of this embodiment includes a first bone distraction pin 31 and a second bone distraction pin 32 , and also includes a retractable first retractable member 1 and a retractable second retractable member 2 ; And one end of the first bone distraction needle 31 passes through one end of the first telescopic member 1, the other end of the first bone distraction needle 31 passes through one end of the second telescopic member 2, and one end of the second bone distraction needle 32 passes through the first telescopic member 1. The other end of the telescopic element 1 and the other end of the second bone distraction pin 32 pass through the other end of the second telescopic element 2. When the first telescopic element 1 and the second telescopic element 2 are retracted to the shortest point, the first bone distraction pin 31 and the second bone distraction pin 32 are parallel to each other, and the first telescopic element 1 and the second telescopic element 2 are arranged in mirror symmetry.

这里,第一伸缩件1和第二伸缩件2伸长时,则第一骨牵引针31和第二骨牵引针32之间的距离增加,第一伸缩件1和第二伸缩件2收缩时,则第一骨牵引针31和第二骨牵引针32之间的距离相应减小。Here, when the first retractable member 1 and the second retractable member 2 are extended, the distance between the first bone distraction pin 31 and the second bone distraction pin 32 increases, and when the first retractable member 1 and the second retractable member 2 are retracted , the distance between the first bone distraction pin 31 and the second bone distraction pin 32 decreases accordingly.

第一伸缩件1的一端为第一柱11,所述第一柱11开有至少一个径向的第一通孔111,且第一骨牵引针31的一端穿过一个第一通孔111;所述第一伸缩件1的另一端为第二柱12,所述第二柱12开有至少一个径向的第二通孔121,且第二骨牵引针32的一端穿过一个第二通孔121;第一柱11和第二柱12之间设有用于连接第一柱11和第二柱12的第一伸缩部;所述第二伸缩件2的一端为第三柱21,所述第三柱21开有至少一个径向的第三通孔211,且第一骨牵引针31的另一端穿过一个第三通孔211;所述第二伸缩件2的另一端为第四柱22,所述第四柱22开有至少一个径向的第四通孔221,且第二骨牵引针32的另一端穿过一个第四通孔221;第三柱21和第四柱22之间设有用于连接第三柱21和第四柱22的第二伸缩部。要强调的是,所述第一柱11的第一通孔111和第三柱21的第三通孔211均是一一对应,所述第二柱12的第二通孔122和第四柱22的第四通孔221均是一一对应,使用时,选择合适的相对应的通孔,这有利于保证第一骨牵引针和第二牵引针的平行状态,这也降低骨骼拉伸时产生二次损伤。One end of the first telescopic member 1 is a first column 11, the first column 11 is provided with at least one radial first through hole 111, and one end of the first bone distraction pin 31 passes through a first through hole 111; The other end of the first telescopic member 1 is a second column 12, the second column 12 is provided with at least one radial second through hole 121, and one end of the second bone distraction pin 32 passes through a second through hole 121. A hole 121; a first telescopic part for connecting the first column 11 and the second column 12 is provided between the first column 11 and the second column 12; one end of the second telescopic member 2 is the third column 21, the The third column 21 has at least one radial third through hole 211, and the other end of the first bone distraction pin 31 passes through a third through hole 211; the other end of the second telescopic member 2 is the fourth column 22, the fourth column 22 has at least one radial fourth through hole 221, and the other end of the second bone distraction pin 32 passes through a fourth through hole 221; A second telescopic part for connecting the third column 21 and the fourth column 22 is provided therebetween. It should be emphasized that the first through holes 111 of the first pillar 11 and the third through holes 211 of the third pillar 21 are in a one-to-one correspondence, and the second through holes 122 of the second pillar 12 and the fourth pillar The fourth through holes 221 of 22 are all in one-to-one correspondence. When using, select the appropriate corresponding through holes, which is conducive to ensuring the parallel state of the first bone distraction needle and the second distraction needle, which also reduces the time when the bone is stretched. secondary damage.

本实施例如图1所示,第一通孔111、第二通孔121、第三通孔211和第四通孔221的个数均为6个,且孔径也是相同的,并且第一柱11、第二柱12、第三柱21和第四柱22的形状大小也是相同的。In this embodiment, as shown in FIG. 1 , the numbers of the first through holes 111 , the second through holes 121 , the third through holes 211 and the fourth through holes 221 are all six, and the hole diameters are also the same, and the first column 11 , the shape and size of the second column 12 , the third column 21 and the fourth column 22 are also the same.

如图1、图2和图3所示,所述第一伸缩部包括第一螺纹杆13,且第一螺纹杆13的一端固定在第一柱11的端面;第二螺纹杆14,且第二螺纹杆14的一端固定在第二柱12的端面;及第五柱15,所述第五柱15开有径向的第一螺纹盲孔151和径向的第二螺纹盲孔152,所述第五柱15的端面开有轴向的第一插孔153,第一螺纹盲孔151和第二螺纹盲孔152呈镜像对称,且第一螺纹盲孔151的中轴线和第二螺纹盲孔152的中轴线重合;第一螺纹杆13的另一端旋拧入第一螺纹盲孔151,第二螺纹杆14的另一端旋拧入第二螺纹盲孔152;所述第一螺纹杆13的中轴线和第二螺纹杆14的中轴线重合;且所述第一螺纹杆13的螺纹旋向和第二螺纹杆14的螺纹旋向相反。所述第二伸缩部包括第三螺纹杆23,且第三螺纹杆23的一端固定在第三柱21的端面;第四螺纹杆24,且第四螺纹杆24的一端固定在第四柱22的端面;及第六柱25,所述第六柱25开有径向的第三螺纹盲孔251和径向的第四螺纹盲孔252,所述第六柱25的端面开有轴向的第二插孔253,第三螺纹盲孔251和第四螺纹盲孔252呈镜像对称,且第三螺纹盲孔251的中轴线和第四螺纹盲孔252的中轴线重合;所述第三螺纹杆23的中轴线和第四螺纹杆24的中轴线重合;且所述第三螺纹杆23的螺纹旋向和第四螺纹杆24的螺纹旋向相反;第三螺纹杆23的另一端旋拧入第三螺纹盲孔251,第四螺纹杆24的另一端旋拧入第四螺纹盲孔252。As shown in FIG. 1 , FIG. 2 and FIG. 3 , the first telescopic part includes a first threaded rod 13 , and one end of the first threaded rod 13 is fixed on the end face of the first column 11 ; the second threaded rod 14 is One end of the two threaded rod 14 is fixed on the end face of the second column 12; and the fifth column 15, the fifth column 15 has a radial first threaded blind hole 151 and a radial second threaded blind hole 152, so The end face of the fifth column 15 is provided with an axial first insertion hole 153, the first threaded blind hole 151 and the second threaded blind hole 152 are mirror-symmetrical, and the central axis of the first threaded blind hole 151 and the second threaded blind hole The central axes of the holes 152 coincide; the other end of the first threaded rod 13 is screwed into the first threaded blind hole 151, and the other end of the second threaded rod 14 is screwed into the second threaded blind hole 152; the first threaded rod 13 The central axis of the second threaded rod 14 coincides with the central axis of the second threaded rod 14 ; and the thread rotation direction of the first threaded rod 13 is opposite to that of the second threaded rod 14 . The second telescopic part includes a third threaded rod 23, and one end of the third threaded rod 23 is fixed on the end face of the third column 21; a fourth threaded rod 24, and one end of the fourth threaded rod 24 is fixed on the fourth column 22 and the sixth column 25, the sixth column 25 is provided with a radial third threaded blind hole 251 and a radial fourth threaded blind hole 252, and the end surface of the sixth column 25 is provided with an axial The second insertion hole 253, the third threaded blind hole 251 and the fourth threaded blind hole 252 are mirror-symmetrical, and the central axis of the third threaded blind hole 251 and the central axis of the fourth threaded blind hole 252 coincide; the third thread The central axis of the rod 23 coincides with the central axis of the fourth threaded rod 24; and the threading direction of the third threaded rod 23 is opposite to that of the fourth threaded rod 24; the other end of the third threaded rod 23 is screwed into the third threaded blind hole 251 , and the other end of the fourth threaded rod 24 is screwed into the fourth threaded blind hole 252 .

这里要说明的是,在操作第一伸缩件1和第二伸缩件2伸长时,如果出现螺纹杆端部从螺纹盲孔完全旋出,那么整个牵引器将会崩溃,也就很有可能对患者造成比较严重的损伤。因此,为了避免上述情况发生,使用前,要保持第一伸缩件1和第二伸缩件2在其最短的状态;即,上述的各螺纹杆旋入螺纹盲孔内,且保持各螺纹杆的端面基本接触到螺纹盲孔的底部,这就使得第一伸缩件1和第二伸缩件2达到其可伸长的最大长度。It should be noted here that when the first telescopic element 1 and the second telescopic element 2 are operated to extend, if the end of the threaded rod is completely unscrewed from the threaded blind hole, the entire retractor will collapse, which is very likely serious injury to the patient. Therefore, in order to avoid the above situation, the first telescopic part 1 and the second telescopic part 2 should be kept in their shortest state before use; that is, the above-mentioned threaded rods are screwed into the threaded blind holes, and the threaded rods should be kept in the shortest state. The end face basically touches the bottom of the threaded blind hole, which makes the first telescopic element 1 and the second telescopic element 2 reach their maximum extendable lengths.

还要说明的是,骨骼复位时,为了保证胫骨牵引器的稳定性,则要保证第一伸缩件1和第二伸缩件2在伸缩时的同步性,那么,所述第一螺纹杆13和第三螺纹杆23的长度相同,所述第二螺纹杆14和第四螺纹杆24的长度相同,另外,保证第一螺纹盲孔151和第三螺纹盲孔251的深度相同,所述第二螺纹盲孔152和第四螺纹盲孔252的深度相同。It should also be noted that, in order to ensure the stability of the tibial distractor during bone repositioning, the synchronization of the first telescopic element 1 and the second telescopic element 2 must be ensured during expansion and contraction. Then, the first threaded rod 13 and the The lengths of the third threaded rods 23 are the same, and the lengths of the second threaded rods 14 and the fourth threaded rods 24 are the same. In addition, it is ensured that the depths of the first threaded blind hole 151 and the third threaded blind hole 251 are the same. The threaded blind hole 152 and the fourth threaded blind hole 252 have the same depth.

这里,由于第一螺纹杆13的螺纹旋向和第二螺纹杆14的螺纹旋向相反,那么,将第五柱15绕第一螺纹杆13和第二螺纹杆14的中轴线旋转时,则第一螺纹杆13和第二螺纹杆14相互接近或是相互远离;同样的,由于第三螺纹杆23的螺纹旋向和第四螺纹杆24的螺纹旋向相反,那么,将第六柱25绕第三螺纹杆23和第四螺纹杆24的中轴线旋转时,则第三螺纹杆23和第四螺纹杆24相互接近或是相互远离;那么,旋转第五柱15和第六柱25,既可实现第一伸缩件1和第二伸缩件2的伸缩。Here, since the thread rotation direction of the first threaded rod 13 is opposite to that of the second threaded rod 14, when the fifth column 15 is rotated around the central axis of the first threaded rod 13 and the second threaded rod 14, then The first threaded rod 13 and the second threaded rod 14 are close to each other or away from each other; similarly, since the threading direction of the third threaded rod 23 is opposite to that of the fourth threaded rod 24, then the sixth column 25 When rotating around the central axis of the third threaded rod 23 and the fourth threaded rod 24, the third threaded rod 23 and the fourth threaded rod 24 are close to or away from each other; then, rotating the fifth column 15 and the sixth column 25, The expansion and contraction of the first telescopic element 1 and the second telescopic element 2 can be realized.

本实施例中,如图1中箭头所示的方向,第一螺纹杆13的螺纹右旋,第二螺纹杆14的螺纹左旋,第三螺纹杆23的螺纹左旋,第四螺纹杆24的螺纹右旋;那么,逆时针旋转第五柱15,即实现第一伸缩件1伸长;顺时针旋转第六柱25,即实现第二伸缩件2伸长。In this embodiment, in the direction shown by the arrow in FIG. 1 , the thread of the first threaded rod 13 is right-handed, the thread of the second threaded rod 14 is left-handed, the thread of the third threaded rod 23 is left-handed, and the thread of the fourth threaded rod 24 is left-handed. Rotate right; then, rotate the fifth column 15 counterclockwise, that is, the extension of the first telescopic element 1 is realized; and the sixth column 25 is rotated clockwise, that is, the extension of the second telescopic element 2 is realized.

另外,本实施例中的第一柱11、第二柱12、第三柱21、第四柱22、第五柱15和第六柱25均为正四棱柱,但不仅限于此,也可以是其他形状,比如圆柱状。In addition, the first column 11 , the second column 12 , the third column 21 , the fourth column 22 , the fifth column 15 and the sixth column 25 in this embodiment are all regular quadrangular prisms, but not limited to this, and other columns may also be used. shape, such as cylindrical.

如图1所示,所述胫骨牵引器还包括门型架4,所述门型架4包括第一插杆44,其一端插入第一插孔153;第二插杆45,其一端插入第二插孔253;连接杆41;第一连接块42,其连接连接杆41的一端以及第一插杆44的另一端;第二连接块43,其连接连接杆41的另一端以及第二插杆45的另一端。这里要说明的是,所述第一插杆44与第一连接块42的连接、所述第二插杆45与第二连接块43的连接、所述连接杆41与第一连接块42、与第二连接块43的连接,可以是螺纹连接,也可以是插销式机械连接,亦可以是焊接,但不仅限于此。As shown in FIG. 1 , the tibial distractor further includes a portal frame 4, and the portal frame 4 includes a first insertion rod 44, one end of which is inserted into the first insertion hole 153; Two jacks 253; connecting rod 41; first connecting block 42, which connects one end of connecting rod 41 and the other end of first plugging rod 44; second connecting block 43, which connects the other end of connecting rod 41 and the second plugging rod the other end of the rod 45 . It should be noted here that the connection between the first insertion rod 44 and the first connection block 42 , the connection between the second insertion rod 45 and the second connection block 43 , the connection rod 41 and the first connection block 42 , The connection with the second connection block 43 may be a screw connection, a pin-type mechanical connection, or a welding, but is not limited to this.

本实施例所述胫骨牵引器使用时,When the tibial distractor described in this embodiment is used,

将第一螺纹杆13的端部旋入第一螺纹盲孔151,同样的,将第二螺纹杆14的端部旋入第二螺纹盲孔152,第三螺纹杆23的端部旋入第三螺纹盲孔251,第四螺纹杆24的端部旋入第四螺纹盲孔252,即第一伸缩件1和第二伸缩件2保持在其最短的状态;Screw the end of the first threaded rod 13 into the first threaded blind hole 151, similarly, screw the end of the second threaded rod 14 into the second threaded blind hole 152, and screw the end of the third threaded rod 23 into the second threaded blind hole 152. The three-threaded blind hole 251, the end of the fourth threaded rod 24 is screwed into the fourth threaded blind hole 252, that is, the first telescopic piece 1 and the second telescopic piece 2 are kept in their shortest state;

将第一伸缩件1和第二伸缩件2对称放置于骨骼骨折处两侧,保持第五柱15和第六柱25竖直,且相互平行,并且保证第一插杆44能插入第一插孔153,第二插杆45能插入第二插孔253;Place the first telescopic piece 1 and the second telescopic piece 2 symmetrically on both sides of the bone fracture, keep the fifth column 15 and the sixth column 25 vertical and parallel to each other, and ensure that the first insertion rod 44 can be inserted into the first insertion rod. The hole 153, the second insertion rod 45 can be inserted into the second insertion hole 253;

根据骨骼骨折处的情况,在第一柱11、第二柱12、第三柱21和第四柱22上选出合适的、相互对称的第一通孔111和第二通孔121、相互对称的第三通孔211和第四通孔221,然后根据选定的通孔,在骨折处的断面两侧的骨骼打出骨牵引针的针孔;According to the situation of the bone fracture, select appropriate and mutually symmetrical first through holes 111 and second through holes 121 on the first column 11 , the second column 12 , the third column 21 and the fourth column 22 , which are symmetrical to each other. The third through hole 211 and the fourth through hole 221, and then according to the selected through holes, the bones on both sides of the fractured section are punched out the needle holes of the bone traction needle;

将第一骨牵引针31依次穿过选定的第一通孔111、针孔、选定的第二通孔121,将第二骨牵引针32依次穿过选定的第三通孔211、针孔、选定的第四通孔221;Pass the first bone distraction needle 31 through the selected first through hole 111, the needle hole, and the selected second through hole 121 in sequence, and pass the second bone distraction needle 32 through the selected third through hole 211, pinhole, the selected fourth through hole 221;

逆时针旋转第五柱15,顺时针旋转第六柱25,则第一伸缩件1和第二伸缩件2伸长,调整骨折处的骨骼,骨骼位置对正后;顺时针旋转第五柱15,逆时针旋转第六柱25,则第一伸缩件1和第二伸缩件2收缩,直至将第五柱15和第六柱25旋转至初始状态,即完成骨折处的骨骼复位;Rotate the fifth column 15 counterclockwise and the sixth column 25 clockwise, then the first telescopic piece 1 and the second telescopic piece 2 are stretched to adjust the bone at the fracture, after the bone position is aligned; rotate the fifth column 15 clockwise , rotate the sixth column 25 counterclockwise, then the first telescopic piece 1 and the second telescopic piece 2 shrink until the fifth column 15 and the sixth column 25 are rotated to the initial state, that is, the bone reduction at the fracture is completed;

将门型架4的第一插杆44插入第一插孔153,第二插杆45插入第二插孔253,即可保持骨骼复位状态。By inserting the first insertion rod 44 of the portal frame 4 into the first insertion hole 153 and the second insertion rod 45 into the second insertion hole 253, the bone repositioning state can be maintained.

Claims (6)

1.一种胫骨牵引器,包括第一骨牵引针和第二骨牵引针,其特征在于,还包括可伸缩的第一伸缩件和可伸缩的第二伸缩件,1. a tibial distraction device, comprising the first bone distraction pin and the second bone distraction pin, it is characterized in that, also comprise the first telescopic piece that is telescopic and the second telescopic piece that is telescopic, 且第一骨牵引针的一端穿过第一伸缩件的一端,第一骨牵引针的另一端穿过第二伸缩件的一端,And one end of the first bone distraction needle passes through one end of the first telescopic piece, and the other end of the first bone distraction needle passes through one end of the second telescopic piece, 且第二骨牵引针的一端穿过第一伸缩件的另一端,第二骨牵引针的另一端穿过第二伸缩件的另一端;And one end of the second bone distraction needle passes through the other end of the first telescopic piece, and the other end of the second bone distraction needle passes through the other end of the second telescopic piece; 第一伸缩件和第二伸缩件收缩到最短时,第一骨牵引针和第二骨牵引针相互平行,且所述第一伸缩件和第二伸缩件镜像对称设置。When the first telescopic piece and the second telescopic piece are contracted to the shortest point, the first bone distraction pin and the second bone distraction pin are parallel to each other, and the first telescopic piece and the second telescopic piece are arranged mirror-symmetrically. 2.根据权利要求1所述的胫骨牵引器,其特征在于,所述第一伸缩件的一端为第一柱,所述第一柱开有至少一个径向的第一通孔,且第一骨牵引针的一端穿过一个第一通孔;2 . The tibial distractor according to claim 1 , wherein one end of the first telescopic member is a first column, the first column is provided with at least one radial first through hole, and the first One end of the bone distraction pin passes through a first through hole; 所述第一伸缩件的另一端为第二柱,所述第二柱开有至少一个径向的第二通孔,且第二骨牵引针的一端穿过一个第二通孔;The other end of the first telescopic member is a second column, the second column is provided with at least one radial second through hole, and one end of the second bone distraction pin passes through a second through hole; 第一柱和第二柱之间设有用于连接第一柱和第二柱的第一伸缩部;A first telescopic part for connecting the first column and the second column is arranged between the first column and the second column; 所述第二伸缩件的一端为第三柱,所述第三柱开有至少一个径向的第三通孔,且第一骨牵引针的另一端穿过一个第三通孔;One end of the second telescopic member is a third column, the third column is provided with at least one radial third through hole, and the other end of the first bone distraction pin passes through a third through hole; 所述第二伸缩件的另一端为第四柱,所述第四柱开有至少一个径向的第四通孔,且第二骨牵引针的另一端穿过一个第四通孔;The other end of the second telescopic member is a fourth column, the fourth column is provided with at least one radial fourth through hole, and the other end of the second bone distraction pin passes through a fourth through hole; 第三柱和第四柱之间设有用于连接第三柱和第四柱的第二伸缩部。A second telescopic part for connecting the third column and the fourth column is provided between the third column and the fourth column. 3.根据权利要求2所述的胫骨牵引器,其特征在于,所述第一伸缩部包括第一螺纹杆,且第一螺纹杆的一端固定在第一柱的端面;3. The tibial distractor according to claim 2, wherein the first telescopic part comprises a first threaded rod, and one end of the first threaded rod is fixed on the end face of the first column; 第二螺纹杆,且第二螺纹杆的一端固定在第二柱的端面;及a second threaded rod, and one end of the second threaded rod is fixed on the end face of the second column; and 第五柱,所述第五柱开有径向的第一螺纹盲孔和径向的第二螺纹盲孔,第一螺纹盲孔和第二螺纹盲孔呈镜像对称,且第一螺纹盲孔的中轴线和第二螺纹盲孔的中轴线重合;The fifth column is provided with a radial first threaded blind hole and a radial second threaded blind hole, the first threaded blind hole and the second threaded blind hole are mirror-symmetrical, and the first threaded blind hole The central axis of the second threaded blind hole coincides with the central axis of the second threaded blind hole; 第一螺纹杆的另一端旋拧入第一螺纹盲孔,第二螺纹杆的另一端旋拧入第二螺纹盲孔;The other end of the first threaded rod is screwed into the first threaded blind hole, and the other end of the second threaded rod is screwed into the second threaded blind hole; 所述第二伸缩部包括第三螺纹杆,且第三螺纹杆的一端固定在第三柱的端面;The second telescopic part includes a third threaded rod, and one end of the third threaded rod is fixed on the end face of the third column; 第四螺纹杆,且第四螺纹杆的一端固定在第四柱的端面;及a fourth threaded rod, and one end of the fourth threaded rod is fixed to the end face of the fourth column; and 第六柱,所述第六柱开有径向的第三螺纹盲孔和径向的第四螺纹盲孔,第三螺纹盲孔和第四螺纹盲孔呈镜像对称,且第三螺纹盲孔的中轴线和第四螺纹盲孔的中轴线重合;The sixth column is provided with a radial third threaded blind hole and a radial fourth threaded blind hole, the third threaded blind hole and the fourth threaded blind hole are mirror-symmetrical, and the third threaded blind hole The central axis of the threaded blind hole coincides with the central axis of the fourth threaded blind hole; 第三螺纹杆的另一端旋拧入第三螺纹盲孔,第四螺纹杆的另一端旋拧入第四螺纹盲孔。The other end of the third threaded rod is screwed into the third threaded blind hole, and the other end of the fourth threaded rod is screwed into the fourth threaded blind hole. 4.根据权利要求3所述的胫骨牵引器,其特征在于,所述第一螺纹杆的中轴线和第二螺纹杆的中轴线重合;且所述第一螺纹杆的螺纹旋向和第二螺纹杆的螺纹旋向相反。4. The tibial distractor according to claim 3, wherein the central axis of the first threaded rod coincides with the central axis of the second threaded rod; Threaded rods have the opposite direction of thread rotation. 5.根据权利要求3所述的胫骨牵引器,其特征在于,所述第三螺纹杆的中轴线和第四螺纹杆的中轴线重合;且所述第三螺纹杆的螺纹旋向和第四螺纹杆的螺纹旋向相反。5. The tibial distractor according to claim 3, wherein the central axis of the third threaded rod coincides with the central axis of the fourth threaded rod; and the thread rotation of the third threaded rod is the same as the fourth threaded rod Threaded rods have the opposite direction of thread rotation. 6.根据权利要求3所述的胫骨牵引器,其特征在于,所述第五柱的端面开有轴向的第一插孔,所述第六柱的端面开有轴向的第二插孔;6 . The tibial distractor according to claim 3 , wherein the end surface of the fifth column is provided with an axial first insertion hole, and the end surface of the sixth column is provided with an axial second insertion hole. 7 . ; 所述胫骨牵引器还包括门型架,所述门型架包括The tibial distractor also includes a portal frame that includes 第一插杆,其一端插入第一插孔;a first insertion rod, one end of which is inserted into the first jack; 第二插杆,其一端插入第二插孔;a second insertion rod, one end of which is inserted into the second jack; 连接杆;Connecting rod; 第一连接块,其连接连接杆的一端以及第一插杆的另一端;a first connecting block, which connects one end of the connecting rod and the other end of the first inserting rod; 第二连接块,其连接连接杆的另一端以及第二插杆的另一端。The second connecting block is connected to the other end of the connecting rod and the other end of the second inserting rod.
CN202010812746.8A 2020-08-13 2020-08-13 Shin bone tractor Pending CN111904567A (en)

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Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1997466A (en) * 1934-04-23 1935-04-09 Harry Herschel Leiter Surgical appliance
US20030120273A1 (en) * 2001-12-21 2003-06-26 Cole J. Dean Surgical distractor frame
US20060200127A1 (en) * 2005-02-23 2006-09-07 Ismail Wardak M Method and apparatus for external fixation of bone fractures
US20120143191A1 (en) * 2006-12-20 2012-06-07 Brian Foote Joint fixator
CN107440772A (en) * 2017-09-05 2017-12-08 肖奕增 A kind of femoral fracture traction closed reduction device and its application method
CN212699089U (en) * 2020-08-13 2021-03-16 闻客医学科技(苏州)有限公司 Shin bone tractor

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1997466A (en) * 1934-04-23 1935-04-09 Harry Herschel Leiter Surgical appliance
US20030120273A1 (en) * 2001-12-21 2003-06-26 Cole J. Dean Surgical distractor frame
US20060200127A1 (en) * 2005-02-23 2006-09-07 Ismail Wardak M Method and apparatus for external fixation of bone fractures
US20120143191A1 (en) * 2006-12-20 2012-06-07 Brian Foote Joint fixator
CN107440772A (en) * 2017-09-05 2017-12-08 肖奕增 A kind of femoral fracture traction closed reduction device and its application method
CN212699089U (en) * 2020-08-13 2021-03-16 闻客医学科技(苏州)有限公司 Shin bone tractor

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Application publication date: 20201110