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CN1631325A - Memory alloy self-locking hoop - Google Patents

Memory alloy self-locking hoop Download PDF

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CN1631325A
CN1631325A CN 200410077783 CN200410077783A CN1631325A CN 1631325 A CN1631325 A CN 1631325A CN 200410077783 CN200410077783 CN 200410077783 CN 200410077783 A CN200410077783 A CN 200410077783A CN 1631325 A CN1631325 A CN 1631325A
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memory alloy
strip
locking hoop
alloy self
self
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CN1306911C (en
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潘滔
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Sixth Affiliated Hospital of Sun Yat Sen University
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Abstract

The invention relates to a memory alloy self-locking type holding ring, which is a strip with perforated structure made of memory alloy material, the strip is made of sheet-like section bar and / or shaped wire rod. The advantages of the invention include strong resilient deformation capability, good stress uniformity, and stronger dependability.

Description

记忆合金自锁式箍环Memory alloy self-locking hoop

【技术领域】【Technical field】

本发明涉及骨科器械,更具体地说,本发明涉及一种管状骨干骨折定位治疗的骨科器械。The present invention relates to an orthopedic instrument, more specifically, the present invention relates to an orthopedic instrument for positioning and treating tubular bone fractures.

【背景技术】【Background technique】

肢体管状骨骨折通常包括以下几种不同情况:横行骨折、短斜行骨折、粉碎性骨折、长斜行骨折、长螺旋形骨折、长楔形骨块等。目前,因为内锁钉方法和相应器械抗旋转和抗分离能力较强,对于管状骨横行、短斜行、或粉碎性骨较为合适,现在临床应用较广泛,但是内锁钉方法和器械对于长斜行骨折、长螺旋形骨折、长楔形骨块,难以在术中形成骨折端间嵌紧、加压,不能有效保持稳定性,骨折端间易出现松动或位移,乃至失去其内固定作用,甚至出现弯钉、断钉现象,并不适用。对于肢体管状骨干上的长斜行骨折长螺旋形骨折、或长楔形骨块还可选择如下治疗方法包括:-加压不锈钢板:该法能一次性、被动地向骨断端加压,可克服骨断端无加压作用、易并发骨不连接症等缺点,但是加压不锈钢板固定后容易产生应力集中从而产生应力遮挡效应,以至损伤生骨的骨外膜、导致骨萎缩。-不锈钢髓内针类:该法用于上肢管状非承重骨效果较好,用于下肢承重骨,由于髓腔宽窄不一,针体难以形成有效的3点或4点固定,抗剪、抗旋、抗分力不足,可能发展为骨不连接、骨成角症,术后常需用外展架等固定骨折处,影响患者生存质量;另外进针点靠近关节部,针尾影响关节的功能恢复训练。Limb tubular bone fractures usually include the following different situations: transverse fractures, short oblique fractures, comminuted fractures, long oblique fractures, long spiral fractures, and long wedge-shaped bone fragments. At present, because the internal locking nail method and corresponding instruments have strong anti-rotation and anti-separation capabilities, it is more suitable for tubular bones with transverse, short oblique, or comminuted bones. For oblique fractures, long spiral fractures, and long wedge-shaped bone fragments, it is difficult to form interlocking and pressurization between the fracture ends during the operation, and the stability cannot be effectively maintained. The fracture ends are prone to loosening or displacement, and even lose their internal fixation. There may even be bent nails and broken nails, which is not applicable. For long oblique fractures and long spiral fractures on the tubular diaphysis of limbs, or long wedge-shaped bone fragments, the following treatment methods can also be selected: - Pressurized stainless steel plate: This method can pressurize the broken end of the bone at one time and passively, and can It overcomes the disadvantages of no pressurization effect on the broken bone and easy nonunion of the bone, but the stress concentration is likely to occur after the pressurized stainless steel plate is fixed, resulting in a stress shielding effect, which can damage the periosteum of the bone and lead to bone atrophy. -Stainless steel intramedullary needles: This method is more effective for tubular non-load-bearing bones of the upper limbs, and for load-bearing bones of the lower limbs. Due to the different widths of the medullary cavity, it is difficult for the needle body to form an effective 3-point or 4-point fixation, and it is resistant to shear and resistance. Insufficient rotation and anti-component force may develop bone nonunion and bone angulation. After surgery, it is often necessary to fix the fracture with an abduction frame, which affects the quality of life of the patient. In addition, the needle insertion point is close to the joint, and the needle tail affects the function of the joint. Resume training.

为了解决肢体管状骨干上的长斜行骨折、长螺旋形骨折、或长楔形骨块一类骨折的手术缺点,有中国专利/申请文件02260022.1公开了一种四肢管状骨干骨折记忆合金紧箍器包括接骨板,其特征在于:接骨板为一长框形,其横向短框边呈圆弧形,两侧长框边有内倾的弧形翼状环抱板,两侧的翼状环抱板上部有翼翅,两边的翼状环抱板上的翼翅交错相嵌,两侧翼状环抱板上部至少有三根翼翅。据称其优点是操作简单,对骨折端髓外血运干扰小,辅助性维持骨折端的稳定性,提高髓内固定抗剪、抗旋、抗折弯能力,对于掌、指、趾骨斜行骨折可直接应用,且手术后不用石膏类外固定,有利于早期功能训练与恢复伤肢功能。但是该装置形状为平行条带,弹性变形能力不强,应力均匀性不强;而且不能形成闭合环带,完全依靠紧箍器的自身材料的相变内能来提供紧箍应力,可靠性不强。In order to solve the surgical shortcomings of long oblique fractures, long spiral fractures, or long wedge-shaped bone fragments on the tubular backbone of limbs, there is a Chinese patent/application document 02260022.1 which discloses a memory alloy tightener for tubular bone fractures of limbs, including The bone plate is characterized in that: the bone plate is in the shape of a long frame, the short lateral frame sides of which are arc-shaped, and the long frame sides on both sides have inwardly inclined arc-shaped wing-shaped embracing plates, and the upper part of the wing-shaped embracing plates on both sides has wings, Wings on the wing-shaped surrounding plates on both sides are staggered and embedded, and there are at least three wings on the top of the wing-shaped surrounding plates on both sides. It is said that its advantages are simple operation, little interference to the extramedullary blood supply of the fracture end, auxiliary maintenance of the stability of the fracture end, and improvement of the anti-shear, anti-rotation, and anti-bending capabilities of the intramedullary fixation. It can be applied directly, and no plaster external fixation is required after the operation, which is conducive to early functional training and recovery of injured limb function. However, the shape of the device is parallel strips, the elastic deformation ability is not strong, and the stress uniformity is not strong; and it cannot form a closed loop belt, and the tightening stress is provided by the phase change internal energy of the tightening device's own material, and the reliability is not good. powerful.

类似上述装置,有中国专利/申请文件02260024.8公开了一种四肢管状骨干骨折记忆合金紧箍器,其包括接骨板,其特征在于:接骨板为一长框形,其横向短框边呈圆弧形,一短框边上有一凸出的尾钩,其高度为内倾的弧形翼状环抱板高度的100%一120%,两侧长框边有内倾的弧形翼状环抱板,两侧的翼状环抱板上部有翼翅,两侧的翼状环抱板上的翼翅交错相嵌,短框边上的凸出尾钩垂直于接骨板水平面,两侧的翼状环抱板上部有至少三根翼翅。据称其优点是操作简单,对骨折端髓外血运干扰小,辅助性维持骨折端的稳定性,提高髓内固定抗剪、抗旋、抗折弯能力,对于掌、指、趾骨斜行骨折可直接应用,且手术后不用石膏类外固定,有利于早期功能训练与恢复伤肢功能。该装置也具有上述类似缺点和问题。Similar to the above-mentioned device, there is a Chinese patent/application document 02260024.8 which discloses a memory alloy tightener for tubular bone fractures of limbs, which includes a bone plate. There is a protruding tail hook on the side of a short frame, and its height is 100% to 120% of the height of the inwardly inclined arc-shaped wing-shaped surrounding plates. There are wings on the upper part of the encircling plate, and the wings on the wing-shaped encircling plates on both sides are staggered and embedded. The protruding tail hooks on the short frame side are perpendicular to the horizontal plane of the bone plate. It is said that its advantages are simple operation, little interference to the extramedullary blood supply of the fracture end, auxiliary maintenance of the stability of the fracture end, and improvement of the anti-shear, anti-rotation, and anti-bending capabilities of the intramedullary fixation. It can be applied directly, and no plaster external fixation is required after the operation, which is conducive to early functional training and recovery of injured limb function. This device also suffers from similar disadvantages and problems as described above.

此外还有中国专利/申请文件89217923.6公开了一种脊柱矫形用形状记忆合金棒,它用恢复温度在30-45℃的钛镍形状记忆合金成,设计的矫形棒由带防矫形棒转动的防转装置及柱体构成。据称临床试验证明,使用这类矫形棒,操作方便,可有效矫正病人的侧弯度,术后不需石膏固定,无神经损伤、骨折等并发症,在术后随诊中无明显角度丢失。该法和装置不适于肢体管状骨干上的长斜行骨折或长楔形骨块治疗。In addition, Chinese patent/application document 89217923.6 discloses a shape memory alloy rod for spinal correction, which is made of a titanium-nickel shape memory alloy with a recovery temperature of 30-45°C. The rotating device and the column are composed. It is said that clinical trials have proved that the use of this type of orthopedic rod is easy to operate and can effectively correct the patient's scoliosis. There is no need for plaster fixation after the operation, no nerve injury, fracture and other complications, and no obvious angle loss during the follow-up after the operation. . This method and device are not suitable for the treatment of long oblique fractures or long wedge-shaped bone fragments on the tubular diaphysis of limbs.

【发明内容】【Content of invention】

针对现有技术的上述缺点,本发明所要达到的技术目的是要提供一种弹性变形能力强、应力均匀性更好、可靠性更强、更适于肢体管状骨干上的长斜行骨折、长螺旋形骨折、或长楔形骨块治疗的记忆合金自锁式箍环。In view of the above-mentioned shortcomings of the prior art, the technical purpose to be achieved by the present invention is to provide a kind of elastic deformation ability, better stress uniformity, stronger reliability, more suitable for long oblique fractures on the tubular backbone of limbs, long Memory alloy self-locking hoop for treatment of spiral fractures or long wedge-shaped bone fragments.

为此,本发明的技术方案是一种记忆合金自锁式箍环,该记忆合金自锁式箍环为记忆合金材质制成的具有孔眼结构的条带,所述条带是由片状型材和/或定形线材制成。本发明的记忆合金自锁式箍环采用孔眼结构的条带,显然孔眼结构形成的条带因为孔眼本身较之单纯直线形材料具有更大的弹性变形余地,串、并联后可获得更大的积累弹性变形余地,因此,更容易克服应力集中所至的应力遮挡和骨外膜损伤及骨萎缩弊病,而且不易产生松动或位移,不存在弯钉、断钉现象。而且孔眼结构为形成闭合环带提供结构基础,可靠性大大提高,非常适用于肢体管状骨干上的长斜行骨折、长螺旋形骨折、或长楔形骨块治疗,而且因为其应力均匀,箍紧可靠,还可作为粉碎性骨折的辅助治疗。本发明的条带可用片状形材冲压制成,也可由弯曲成形的线材并行排列固定成片状来制得。For this reason, the technical solution of the present invention is a memory alloy self-locking hoop, which is a strip with a hole structure made of a memory alloy material, and the strip is made of a sheet-shaped profile and/or shaped wire. The memory alloy self-locking hoop of the present invention adopts a strip with a hole structure. Obviously, the strip formed by the hole structure has a larger room for elastic deformation than a simple linear material, and a larger elastic deformation can be obtained after being connected in series or in parallel. There is room for elastic deformation. Therefore, it is easier to overcome the stress shielding caused by stress concentration, periosteal injury and bone atrophy, and it is not easy to loosen or shift, and there is no phenomenon of bent or broken nails. Moreover, the hole structure provides a structural basis for the formation of a closed ring, which greatly improves reliability. It is very suitable for the treatment of long oblique fractures, long spiral fractures, or long wedge-shaped bone fragments on the tubular backbone of the limbs. Reliable, it can also be used as an adjuvant treatment for comminuted fractures. The strips of the present invention can be made by punching sheet-shaped materials, or by parallel arrangement and fixing of bent and formed wires into sheets.

为能封闭自锁式箍环,进一步增加可靠性,本发明的所述箍环还包括钩挂所述条带的孔眼使其形成封闭环的挂钩装置。In order to close the self-locking hoop and further increase the reliability, the hoop of the present invention also includes a hook device for hooking the eyelet of the strip to form a closed loop.

为进一步强化本发明的上述基本优点,本发明采取如下较具体改进措施:In order to further strengthen the above-mentioned basic advantages of the present invention, the present invention takes the following more specific improvement measures:

所述孔眼结构具有形同或相似的几何形状,所述孔眼结构的孔眼形状选自菱形、多边形、圆形、椭圆形其中一种或多种形状的组合,所述多边形的边数不小于5。The hole structure has the same or similar geometric shape, and the hole shape of the hole structure is selected from a combination of one or more shapes of rhombus, polygon, circle, and ellipse, and the number of sides of the polygon is not less than 5 .

所述孔眼结构彼此连结延伸而形成链式条带。The eyelet structures are connected and extended to form a chain belt.

5个或5个以上的所述孔眼结构串联链接形成一列。所述条带是由1列孔眼结构构成;或者,所述条带是由2~3列孔眼结构并联链接而成。Five or more of said hole structures are connected in series to form a column. The strip is composed of a row of hole structures; or, the strip is formed by parallel connection of 2 to 3 rows of hole structures.

为便于制造,本发明的孔眼形状为对称多边形。在较佳实施例中,所述对称多边形孔眼形状为对称六边形。For the convenience of manufacture, the hole shape of the present invention is a symmetrical polygon. In a preferred embodiment, the shape of the symmetrical polygonal hole is a symmetrical hexagon.

所述挂钩装置为螺栓,或者,所述挂钩装置为在条带一端的孔眼结构上一体形成的挂钩。所述挂钩为1或多个;多个挂钩并联或串联或串并联结合地固定在条带的一端。所述记忆合金为镍钛类材质的合金。The hook device is a bolt, or the hook device is a hook integrally formed on the eyelet structure at one end of the strip. There are one or more hooks; multiple hooks are fixed on one end of the strip in parallel or in series or in combination of series and parallel. The memory alloy is an alloy made of nickel-titanium.

总之,本发明的的结构改进具有实施简便、有效、成本低廉的优点。In a word, the structural improvement of the present invention has the advantages of simple implementation, effective and low cost.

以下,结合具体实施例和附图对本发明的技术解决方案作进一步说明。Below, the technical solution of the present invention will be further described in conjunction with specific embodiments and accompanying drawings.

【附图说明】【Description of drawings】

图1为本发明实施例的结构主示意图。Fig. 1 is the main schematic diagram of the structure of the embodiment of the present invention.

图2为本发明实施例的立体结构示意图。Fig. 2 is a schematic perspective view of the three-dimensional structure of the embodiment of the present invention.

图3为本发明实施例的工作状态结构示意图。Fig. 3 is a schematic diagram of the working state structure of the embodiment of the present invention.

【具体实施方式】【Detailed ways】

如图1、2、3所示:一种记忆合金自锁式箍环,该记忆合金自锁式箍环的构造为具有孔眼结构2的条带1,条带1是由片状型材和/或定形线材制成。该记忆合金为镍钛类材质。As shown in Figures 1, 2 and 3: a memory alloy self-locking hoop, the structure of the memory alloy self-locking hoop is a strip 1 with a hole structure 2, and the strip 1 is made of a sheet profile and/or Or made of shaped wire. The memory alloy is nickel-titanium material.

箍环还包括钩挂条带1的孔眼使其形成封闭环的挂钩装置3。挂钩装置为在条带1一端的孔眼结构2上一体形成的挂钩。2个挂钩3串联地固定在条带1的一端。The hoop also comprises hook means 3 for hooking the eyelets of the strap 1 so as to form a closed loop. The hook device is a hook integrally formed on the eyelet structure 2 at one end of the strip 1 . Two hooks 3 are fixed on one end of the strip 1 in series.

孔眼结构2具有形同的几何形状,所述孔眼结构2的孔眼形状为对称六边形,孔眼结构2彼此连结延伸而形成链式条带1。条带1是由1列10个孔眼结构2串联链接形成一列式结构。条带1也可以是由2~3列孔眼结构2并联链接而成。The hole structure 2 has the same geometric shape, and the hole shape of the hole structure 2 is a symmetrical hexagon, and the hole structures 2 are connected and extended to form a chain strip 1 . The strip 1 is a column structure formed by a column of 10 hole structures 2 connected in series. The strip 1 can also be formed by connecting 2 to 3 rows of hole structures 2 in parallel.

手术中,先将本发明的镍钛类材质记忆合金自锁式箍环1浸入低温环境中使其拉长变形,在低温下包裹住骨折的肢体管状骨干,并将其钩挂扣紧形成封闭环。待封闭的箍环在人体内恢复到人体温度一致后,本发明的自锁式箍环即紧紧地且受力均匀地箍紧肢体管状骨干的长斜行骨折、长螺旋形骨折、或长楔形骨块处,有效地帮助肢体管状骨干定位和恢复。During the operation, the memory alloy self-locking hoop 1 made of nickel-titanium material of the present invention is first immersed in a low-temperature environment to make it elongated and deformed, wrap the tubular backbone of the fractured limb at low temperature, and hook and fasten it to form a closed ring. After the closed hoop returns to the same temperature in the human body, the self-locking hoop of the present invention can tighten the long oblique fracture, the long spiral fracture, or the long oblique fracture of the tubular backbone of the limb tightly and uniformly. At the cuneiform bone block, it effectively helps the positioning and recovery of the tubular backbone of the limb.

Claims (10)

1、一种记忆合金自锁式箍环,其特征在于:该记忆合金自锁式箍环为记忆合金材质制成的具有孔眼结构(2)的条带(1),所述条带(1)是由片状型材和/或定形线材制成。1. A memory alloy self-locking hoop, characterized in that: the memory alloy self-locking hoop is a strip (1) with a hole structure (2) made of memory alloy material, and the strip (1) ) is made of sheet profiles and/or shaped wires. 2、如权利要求1所述的记忆合金自锁式箍环,其特征在于:所述箍环还包括钩挂所述条带(1)的孔眼使其形成封闭环的挂钩装置(3)。2. The memory alloy self-locking hoop as claimed in claim 1, characterized in that: the hoop further comprises a hook device (3) for hooking the eyelet of the strip (1) to form a closed loop. 3、如权利要求1或2所述的记忆合金自锁式箍环,其特征在于:所述孔眼结构(2)具有形同或相似的几何形状,所述孔眼结构(2)的孔眼形状选自菱形、多边形、圆形、椭圆形其中一种或多种形状的组合,所述多边形的边数不小于5。3. The memory alloy self-locking hoop according to claim 1 or 2, characterized in that: the hole structure (2) has the same or similar geometric shape, and the hole shape of the hole structure (2) is selected from A combination of one or more shapes among rhombus, polygon, circle and ellipse, and the number of sides of the polygon is not less than 5. 4、如权利要求1或2所述的记忆合金自锁式箍环,其特征在于:所述孔眼结构(2)彼此连结延伸而形成链式条带(1)。4. The memory alloy self-locking hoop according to claim 1 or 2, characterized in that the eyelet structures (2) are connected and extended to form a chain strip (1). 5、如权利要求1或2所述的记忆合金自锁式箍环,其特征在于:5个或5个以上的所述孔眼结构(2)串联链接形成一列。5. The memory alloy self-locking hoop according to claim 1 or 2, characterized in that 5 or more of the eyelet structures (2) are connected in series to form a row. 6、如权利要求5所述的记忆合金自锁式箍环,其特征在于:所述条带(1)是由1列孔眼结构(2)构成;或者,所述条带(1)是由2~3列孔眼结构(2)并联链接而成。6. The memory alloy self-locking hoop according to claim 5, characterized in that: the strip (1) is composed of a row of hole structures (2); or, the strip (1) is composed of 2 to 3 rows of eyelet structures (2) are connected in parallel. 7、如权利要求1或2所述的记忆合金自锁式箍环,其特征在于:所述的孔眼形状为对称多边形。7. The memory alloy self-locking hoop as claimed in claim 1 or 2, characterized in that the shape of the hole is a symmetrical polygon. 8、如权利要求7所述的记忆合金自锁式箍环,其特征在于:所述对称多边形孔眼形状为对称六边形。8. The memory alloy self-locking hoop as claimed in claim 7, characterized in that the shape of the symmetrical polygonal hole is a symmetrical hexagon. 9、如权利要求2所述的记忆合金自锁式箍环,其特征在于:所述挂钩装置(3)为螺栓,或者,所述挂钩装置(3)为在条带一端的孔眼结构上一体形成的挂钩;所述挂钩为1或多个,多个挂钩并联或串联或串并联结合地固定在条带的一端。9. The memory alloy self-locking hoop according to claim 2, characterized in that: the hook device (3) is a bolt, or the hook device (3) is integrated in the eyelet structure at one end of the strip The formed hooks; the number of said hooks is one or more, and the plurality of hooks are fixed on one end of the strip in parallel or in series or in combination of series and parallel. 10、如权利要求1或2所述的记忆合金自锁式箍环,其特征在于:所述记忆合金为镍钛类材质的合金。10. The memory alloy self-locking hoop according to claim 1 or 2, characterized in that: the memory alloy is an alloy made of nickel-titanium.
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US11045236B2 (en) 2015-01-26 2021-06-29 Panther Orthopedics, Inc. Active tension bone and joint stabilization methods
US10555766B2 (en) 2015-01-26 2020-02-11 Panther Orthopedics, Inc. Active tension bone and joint stabilization devices
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CN107205739A (en) * 2015-01-26 2017-09-26 潘瑟骨科治疗公司 Actively it is tensioned bone and joint stability device
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