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CN108210048A - A kind of near end of thighbone Kirschner wire fixation device - Google Patents

A kind of near end of thighbone Kirschner wire fixation device Download PDF

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Publication number
CN108210048A
CN108210048A CN201810055345.5A CN201810055345A CN108210048A CN 108210048 A CN108210048 A CN 108210048A CN 201810055345 A CN201810055345 A CN 201810055345A CN 108210048 A CN108210048 A CN 108210048A
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CN
China
Prior art keywords
kirschner wire
plate elements
attaching plate
longitudinal
thighbone
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Pending
Application number
CN201810055345.5A
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Chinese (zh)
Inventor
梁志强
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Individual
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Individual
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Priority to CN201810055345.5A priority Critical patent/CN108210048A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • 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, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/74Devices for the head or neck or trochanter of the femur

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Neurology (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 present invention relates to a kind of near end of thighbone Kirschner wire fixation devices, including attaching plate elements, there are one corresponding longitudinal register holes for one end setting of the attaching plate elements, detachable apparatus has corresponding longitudinal sleeve on the longitudinal register hole, there are two located lateral pipes for the other end setting of the attaching plate elements, and the located lateral Guan Shangjun is movable to be equipped with corresponding transverse sleeves.It is the configuration of the present invention is simple, easy to operation, and Kirschner wire positioning is suitable, squeezes into two broken ends of fractured bone of fracture, can play effective fixed function temporarily, maintains the reduction of the fracture, and do not interfere with intramedullary nail(Or steel plate)Implantation, can realize minimally invasive, effectively improve femoral intertrochanteric or the operative effect of fracture of neck of femur.

Description

A kind of near end of thighbone Kirschner wire fixation device
Technical field
The present invention relates to intertrochanter fracture of femurs and fracture of neck of femur operation device, in particular to a kind of near end of thighbone gram Family name's needle fixation device is currently used primarily in being fixed temporarily in intertrochanter fracture of femur art, is also applied for fracture of neck of femur.
Background technology
With social astogeny, Treatment of Intertrochanteric Fractures in Aged Patients increases year by year.Elderly patients are associated with a kind of or more more Kind internal disease, it is poor to the tolerance of operation, it needs to take modus operandi minimally invasive, that damage is small as far as possible.Closed reduction passes through It is a kind of Minimally Invasive Surgery that skin, which is inserted into fixation in the anti-rotation intramedullary nail of near end of thighbone, is the master of current treatment Procedure on Intertrochanteric Fracture in Aged Want method.Fixed operation in proximal femoral nail is carried out for intertrochanter fracture of femur, routine operation position is led for orthopaedics Draw dorsal position on bed, but in clinical practice, (basic hospital lacks orthopaedics and leads since the corresponding hardware facility of operating room is not perfect Draw bed), it only performs the operation on non-orthopedic traction bed and in the case of non-orthopedic traction bed, it is past in intertrochanter fracture of femur art Toward will appear situation about being shifted again after the reduction of the fracture, it is therefore desirable to the fracture resetted is fixed temporarily with Kirschner wire, prevented Only fracture redisplacement.If manually squeezing into Kirschner wire, Kirschner wire, which will appear, to be squeezed into pulp cavity or is skidded off from distal femoral surface, can be stopped in this way Intramedullary nail(Or steel plate)Implantation or fail fix two broken ends of fractured bone of fracture.Therefore it is required that the Kirschner wire being fixed temporarily ensures through bone Far and near two broken ends of fractured bone of folding, play the role of being fixed temporarily to the reduction of the fracture, ensure to stop intramedullary nail again(Or steel plate)Implantation, In order to meet this two conditions, need to squeeze into Kirschner wire carry out positioning and guiding.
At present, Kirschner wire guide pin is typically necessary using corresponding guider before neck of femur in the positioning of neck of femur Face is positioned with a Kirschner wire, then the reference in this, as top rake, by the lower continuous adjustment of CB perspectives, finally determines kirschner The guide pin direction of needle and position.Using existing guider when progress Kirschner wire penetrates positioning, there are following defects:1)It is oriented to Device is complicated, inconvenient, and the operating time is long, increases anesthetic risks; 2)Wound is big, needs incision proximal femur larger The tissues such as integumentary musculature aggravate local tissue damage, destroy blood fortune, increase the pain of patient, suffer from particularly with Elder Person increases operation wound, does not meet minimally invasive theory;3)Kirschner wire passes through pulp cavity, can stop intramedullary nail(Or steel plate)Implantation.Cause This, research and development are a simple in structure, easy to operation, and Kirschner wire squeezes into position suitable, can effectively fix two broken ends of fractured bone of fracture, maintain The reduction of the fracture, and do not interfere with proximal femoral nail(Or steel plate)Implantation, can realize minimally invasive, effectively improve operative effect Near end of thighbone Kirschner wire fixation device be the present invention research purpose.
Invention content
In view of the above-mentioned problems of the prior art, the invention reside in a kind of near end of thighbone Kirschner wire fixation device is provided, The near end of thighbone Kirschner wire fixation apparatus structure is simple, easy to operation, and Kirschner wire positioning is suitable, can effectively fix fracture two The broken ends of fractured bone maintains the reduction of the fracture, and does not interfere with intramedullary nail(Or steel plate)Implantation, can realize minimally invasive, effectively improve fracture hand Art curative effect.
The technical scheme is that:
A kind of near end of thighbone Kirschner wire fixation device, including attaching plate elements, there are one corresponding for one end setting of the attaching plate elements Longitudinal register hole, detachable apparatus has corresponding longitudinal sleeve, the other end of the attaching plate elements on the longitudinal register hole There are two located lateral pipes for setting, and the located lateral Guan Shangjun is movable to be equipped with corresponding transverse sleeves.
The attaching plate elements is L-shaped attaching plate elements, and one end of L-shaped attaching plate elements is vertically arranged determines there are one longitudinal accordingly Position hole, the longitudinal sleeve vertical removable are installed on the longitudinal register hole, and the other end of L-shaped attaching plate elements is horizontally disposed with There are two located lateral pipe, the transverse sleeves level is movable to be equipped on the located lateral pipe.
One end of the longitudinal sleeve is provided with corresponding external screw thread, and longitudinal sleeve passes through the external screw thread that it is equipped with and phase The nut answered is locked to be provided with and the longitudinal register at one end of the L-shaped attaching plate elements, the center of the nut The central through hole that hole is connected with longitudinal sleeve, the end face of the longitudinal sleeve other end are arranged to zigzag.
One end of the transverse sleeves is provided with the corresponding positioning convex platform of a circle, and the end face of the transverse sleeves other end is arranged to Zigzag.
After the longitudinal sleeve is installed on longitudinal register hole, the transverse sleeves are arranged in located lateral pipe, longitudinal sleeve Bottom end is located above the transverse sleeves top end face at 3mm.
An arc is connected between the both ends of the L-shaped attaching plate elements and strengthens fixed plate.
One end that the L-shaped attaching plate elements is equipped with longitudinal register hole has additional a notch, and the notch is from L-shaped attaching plate elements End is connected to the longitudinal register hole.
Advantages of the present invention:
During positioning, 1)The reduction of the fracture is maintained, under CB machines perspective, by lateral side of femur about 1-2cm on neck of femur central axes Take entry point;2)About 0.5cm small notch is done in the corresponding skin of point, insertion longitudinal sleeve is straight after making the small stripping of passivity of muscle To bone face, a Kirschner wire is vertically pierced under longitudinal sleeve protection, then longitudinal sleeve is connected in attaching plate elements;3)It puts on Transverse sleeves do the small notch of 0.5cm respectively at its corresponding skin, and blunt separation muscle will along located lateral pipe Transverse sleeves are inserted into until on lateral side of femur bone face, and hand presses transverse sleeves, is allowed to be close to bone face, then pierces two pieces of Kirschner wires extremely Incidence;4)The Kirschner wire and the device vertically pierced, the Kirschner wire that two pieces of levels of indwelling pierce are taken out after unlock longitudinal sleeve Fixed fracture both ends, fracture end, which is fixed temporarily, to be completed.The configuration of the present invention is simple, easy to operation is embodied, and Kirschner wire positions The advantages that suitable;In position fixing process, need to only be directed to longitudinal sleeve and transverse sleeves penetrates the small notch for being 0.5cm, Neng Goushi It is existing minimally invasive, ensure that the reduction of the fracture is not lost, effectively improve the operative effect of fracture.
After the longitudinal sleeve of the present invention is installed on longitudinal register hole, transverse sleeves are arranged in located lateral pipe, longitudinal sleeve Bottom end is located above the transverse sleeves top end face at 3mm, and the Kirschner wire of horizontal direction is made to be located under femur cortex of bone, but not Pulp cavity is penetrated, can ensure that Kirschner wire can play the role of the contraposition of two broken ends of fractured bone of fixed fracture and interfere near end of thighbone in this way Intramedullary nail(Or steel plate)Squeeze into.
One end that the longitudinal sleeve and transverse sleeves of the present invention are contacted with femur is all provided with being set to zigzag, effectively improves positioning Effect further ensures that the accuracy of guide pin.
An arc is connected between the L-shaped attaching plate elements both ends of the present invention and strengthens fixed plate, strengthens fixed plate in arc It under effect, prevents the present invention from deforming, improves the practical function of the present invention.The present invention also have it is simple in structure, be easy to make And the advantages of of low cost.
One end that the L-shaped attaching plate elements of the present invention is equipped with longitudinal register hole has additional a notch, and notch is from L-shaped attaching plate elements End is connected to the longitudinal register hole.By the setting of notch, convenient for the dismounting of L-shaped attaching plate elements.During dismounting, only need to unlock Longitudinal sleeve can in the horizontal direction extract L-shaped attaching plate elements out.Once there is any one piece in two pieces of Kirschner wires that level pierces When the fixed fracture both ends of appearance are not in place, the Kirschner wire vertically pierced can not be removed first, first in the horizontal direction by L-shaped attaching plate elements Extraction makes L-shaped attaching plate elements be detached from the Kirschner wire that two pieces of levels pierce, then again by the longitudinal register hole of L-shaped attaching plate elements weight The Kirschner wire vertically pierced newly is reset to, after being positioned again by longitudinal sleeve, adjusts position, difference in the horizontal direction Efficiently quick complement enters corresponding Kirschner wire on position, it is ensured that has two pieces of Kirschner wires to carry out fracture both ends effectively fixed.
Description of the drawings
Fig. 1 is the structural diagram of the present invention.
Fig. 2 is the structure diagram of the L-shaped attaching plate elements of the present invention.
Fig. 3 is the usage state diagram of the present invention.
Fig. 4 is the structure diagram that Kirschner wire of the present invention squeezes near end of thighbone.
Specific embodiment
It is in order to facilitate the understanding of those skilled in the art, existing that embodiment combination attached drawing is further detailed to the structure work of the present invention Thin description:
With reference to figure 1-4, a kind of near end of thighbone Kirschner wire fixation device, including attaching plate elements 1, one end of the attaching plate elements 1 is set It puts there are one corresponding longitudinal register hole, detachable apparatus has corresponding longitudinal sleeve 2, the connection on the longitudinal register hole The other end setting of plate 1 is movable on the located lateral pipe 3 to be equipped with corresponding transverse direction there are two located lateral pipe 3 Sleeve 4.
The attaching plate elements 1 is L-shaped attaching plate elements 1, and one end of L-shaped attaching plate elements 1 is vertically arranged indulges there are one corresponding To location hole, 2 vertical removable of longitudinal sleeve is installed on the longitudinal register hole, the other end water of L-shaped attaching plate elements 1 There are two located lateral pipes 3 for flat setting, and 4 level of transverse sleeves is movable to be equipped on the located lateral pipe 3.
One end of the longitudinal sleeve 2 is provided with corresponding external screw thread, longitudinal sleeve 2 by the external screw thread that it is equipped with Corresponding nut 5 is locked to be provided with and the longitudinal direction at one end of the L-shaped attaching plate elements 1, the center of the nut 5 The central through hole 6 that location hole is connected with longitudinal sleeve 2, the end face of 2 other end of longitudinal sleeve are arranged to zigzag.
One end of the transverse sleeves 4 is provided with the corresponding positioning convex platform 7 of a circle, and the end face of 4 other end of transverse sleeves is set It is set to zigzag.
After the longitudinal sleeve 2 is installed on longitudinal register hole, the transverse sleeves 4 are arranged in located lateral pipe 3, longitudinal sleeve 2 bottom ends of cylinder are located above 4 top end face of transverse sleeves at 3mm.
An arc is connected between the both ends of the L-shaped attaching plate elements 1 and strengthens fixed plate 8.
One end that the L-shaped attaching plate elements 1 is equipped with longitudinal register hole has additional a notch 9, and the notch 9 is connected from L-shaped 1 end of plate is connected to the longitudinal register hole.
During use:
1)The reduction of the fracture is maintained, under CB machines perspective, by taking inserting needle at lateral side of femur about 1-2cm on neck of femur central axes Point;
2)About 0.5cm small notch is done in the corresponding skin of point, longitudinal sleeve 2 is inserted into until bone after making the small stripping of passivity of muscle Face vertically pierces a Kirschner wire under the protection of longitudinal sleeve 2, and longitudinal sleeve 2 then is connected in L-shaped with the cooperation of nut 5 connect On plate 1;
3)Transverse sleeves 4 are put on, do the small notch of 0.5cm respectively at its corresponding skin, blunt separation muscle, along Transverse sleeves 4 are inserted into until on lateral side of femur bone face by located lateral pipe 3, and hand presses transverse sleeves 4, is allowed to pierce after being close to bone face Two pieces of Kirschner wires are to incidence;
4)The Kirschner wire and the device vertically pierced is taken out after nut 5 on unlock longitudinal sleeve 2, two pieces of levels of indwelling pierce Kirschner wire fixation fracture both ends, fracture end, which is fixed temporarily, to be completed.
5)It, can first not when having any fixed fracture both ends of one piece of appearance not in place in two pieces of Kirschner wires that level pierces The Kirschner wire vertically pierced is removed, first in the horizontal direction extracts L-shaped attaching plate elements out, L-shaped attaching plate elements is made to be detached from two pieces of levels Then the longitudinal register hole of L-shaped attaching plate elements is reset to the Kirschner wire vertically pierced, led to again by the Kirschner wire pierced again again It crosses after longitudinal sleeve positioned, adjusts position, efficiently quick complement enters corresponding kirschner on different location in the horizontal direction Needle, it is ensured that have two pieces of Kirschner wires that fracture both ends are carried out with effectively fixed, the kirschner that Kirschner wire complement mode is pierced with two pieces of levels It is consistent that stylus printer enters mode.
The foregoing is merely presently preferred embodiments of the present invention, all equivalent changes done according to scope of the present invention patent with Modification should all belong to the covering scope of the present invention.

Claims (7)

1. a kind of near end of thighbone Kirschner wire fixation device, including attaching plate elements, it is characterised in that:One end of the attaching plate elements is set It puts there are one corresponding longitudinal register hole, detachable apparatus has corresponding longitudinal sleeve, the connection on the longitudinal register hole There are two located lateral pipes for the other end setting of plate, and the located lateral Guan Shangjun is movable to be equipped with corresponding laterally set Cylinder.
2. a kind of near end of thighbone Kirschner wire fixation device according to claim 1, it is characterised in that:The attaching plate elements is L-shaped attaching plate elements, one end of L-shaped attaching plate elements are vertically arranged there are one corresponding longitudinal register hole, and the longitudinal sleeve is vertical For detachable apparatus on the longitudinal register hole, the other end of L-shaped attaching plate elements is horizontally disposed with that there are two located lateral pipes, described Transverse sleeves level is movable to be equipped on the located lateral pipe.
3. a kind of near end of thighbone Kirschner wire fixation device according to claim 2, it is characterised in that:The longitudinal sleeve One end is provided with corresponding external screw thread, and longitudinal sleeve is locked with corresponding nut described by the external screw thread that it is equipped with One end of L-shaped attaching plate elements is provided at the center of the nut in being connected with the longitudinal register hole and longitudinal sleeve Heart through-hole, the end face of the longitudinal sleeve other end are arranged to zigzag.
4. a kind of near end of thighbone Kirschner wire fixation device according to claim 2, it is characterised in that:The transverse sleeves One end is provided with the corresponding positioning convex platform of a circle, and the end face of the transverse sleeves other end is arranged to zigzag.
5. a kind of near end of thighbone Kirschner wire fixation device according to claim 2, it is characterised in that:The longitudinal sleeve wound packages It is placed in longitudinal register hole, after the transverse sleeves are arranged in located lateral pipe, longitudinal sleeve bottom end is located at the transverse sleeves top Above end face at 3mm.
6. a kind of near end of thighbone Kirschner wire fixation device according to claim 2, it is characterised in that:The L-shaped connecting plate An arc is connected between the both ends of part and strengthens fixed plate.
7. a kind of near end of thighbone Kirschner wire fixation device according to claim 2, it is characterised in that:The L-shaped connecting plate One end that part is equipped with longitudinal register hole has additional a notch, and the notch is connected to the longitudinal direction from L-shaped attaching plate elements end to be determined Position hole.
CN201810055345.5A 2018-01-19 2018-01-19 A kind of near end of thighbone Kirschner wire fixation device Pending CN108210048A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201810055345.5A CN108210048A (en) 2018-01-19 2018-01-19 A kind of near end of thighbone Kirschner wire fixation device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201810055345.5A CN108210048A (en) 2018-01-19 2018-01-19 A kind of near end of thighbone Kirschner wire fixation device

Publications (1)

Publication Number Publication Date
CN108210048A true CN108210048A (en) 2018-06-29

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Application Number Title Priority Date Filing Date
CN201810055345.5A Pending CN108210048A (en) 2018-01-19 2018-01-19 A kind of near end of thighbone Kirschner wire fixation device

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109106440A (en) * 2018-07-25 2019-01-01 上海伯塔医疗器械有限公司 A kind of humeral intramedullary nail implantation sighting device and its application method
CN109350218A (en) * 2018-10-31 2019-02-19 中国人民解放军第四军医大学 A kind of fixed device of screw placement for fracture of neck of femur model
CN113796943A (en) * 2021-05-12 2021-12-17 蚌埠医学院第一附属医院(蚌埠医学院附属肿瘤医院) Femoral Kirschner wire positioning and adjusting device

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP3046822B1 (en) * 1999-09-01 2000-05-29 株式会社ホムズ技研 Intramedullary nail positioning device
CN103006310A (en) * 2012-11-20 2013-04-03 上海市浦东新区公利医院 Femoral nail embedding reductor
CN205514872U (en) * 2016-03-18 2016-08-31 高开拓 Auxiliary device in operation of intramedullary nail internal fixation
CN106618709A (en) * 2016-12-31 2017-05-10 田康 Elastic intramedullary nail for ulnar fracture and fixator of elastic intramedullary nail
CN208319296U (en) * 2018-01-19 2019-01-04 梁志强 A kind of near end of thighbone Kirschner wire fixation device

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP3046822B1 (en) * 1999-09-01 2000-05-29 株式会社ホムズ技研 Intramedullary nail positioning device
CN103006310A (en) * 2012-11-20 2013-04-03 上海市浦东新区公利医院 Femoral nail embedding reductor
CN205514872U (en) * 2016-03-18 2016-08-31 高开拓 Auxiliary device in operation of intramedullary nail internal fixation
CN106618709A (en) * 2016-12-31 2017-05-10 田康 Elastic intramedullary nail for ulnar fracture and fixator of elastic intramedullary nail
CN208319296U (en) * 2018-01-19 2019-01-04 梁志强 A kind of near end of thighbone Kirschner wire fixation device

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109106440A (en) * 2018-07-25 2019-01-01 上海伯塔医疗器械有限公司 A kind of humeral intramedullary nail implantation sighting device and its application method
CN109350218A (en) * 2018-10-31 2019-02-19 中国人民解放军第四军医大学 A kind of fixed device of screw placement for fracture of neck of femur model
CN109350218B (en) * 2018-10-31 2023-11-10 中国人民解放军第四军医大学 Screw implantation fixing device for femur neck fracture model
CN113796943A (en) * 2021-05-12 2021-12-17 蚌埠医学院第一附属医院(蚌埠医学院附属肿瘤医院) Femoral Kirschner wire positioning and adjusting device
CN113796943B (en) * 2021-05-12 2023-11-10 蚌埠医学院第一附属医院(蚌埠医学院附属肿瘤医院) Femur Kirschner wire positioning and adjusting device

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