CN115590567A - Double suture fixing device for acromioclavicular joint reconstruction - Google Patents
Double suture fixing device for acromioclavicular joint reconstruction Download PDFInfo
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- CN115590567A CN115590567A CN202211297759.1A CN202211297759A CN115590567A CN 115590567 A CN115590567 A CN 115590567A CN 202211297759 A CN202211297759 A CN 202211297759A CN 115590567 A CN115590567 A CN 115590567A
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- Prior art keywords
- fixed cylinder
- suture
- acromioclavicular joint
- joint reconstruction
- recited
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- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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- 210000000142 acromioclavicular joint Anatomy 0.000 title claims abstract description 24
- 210000003109 clavicle Anatomy 0.000 claims abstract description 7
- 238000009940 knitting Methods 0.000 claims abstract description 4
- 210000003323 beak Anatomy 0.000 claims abstract description 3
- 210000001519 tissue Anatomy 0.000 claims description 8
- 230000004069 differentiation Effects 0.000 claims description 5
- 239000003814 drug Substances 0.000 claims description 5
- 239000003102 growth factor Substances 0.000 claims description 5
- 238000004519 manufacturing process Methods 0.000 claims description 5
- 230000001737 promoting effect Effects 0.000 claims description 5
- 229940079593 drug Drugs 0.000 claims description 4
- 239000004699 Ultra-high molecular weight polyethylene Substances 0.000 claims description 3
- 239000000463 material Substances 0.000 claims description 3
- 229920000785 ultra high molecular weight polyethylene Polymers 0.000 claims description 3
- 235000017166 Bambusa arundinacea Nutrition 0.000 abstract description 15
- 235000017491 Bambusa tulda Nutrition 0.000 abstract description 15
- 241001330002 Bambuseae Species 0.000 abstract description 15
- 235000015334 Phyllostachys viridis Nutrition 0.000 abstract description 15
- 239000011425 bamboo Substances 0.000 abstract description 15
- 230000000694 effects Effects 0.000 abstract description 2
- 238000000034 method Methods 0.000 description 16
- 239000004744 fabric Substances 0.000 description 12
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 5
- 229910052719 titanium Inorganic materials 0.000 description 5
- 239000010936 titanium Substances 0.000 description 5
- 210000000988 bone and bone Anatomy 0.000 description 4
- 206010060820 Joint injury Diseases 0.000 description 2
- 208000035965 Postoperative Complications Diseases 0.000 description 2
- 230000008602 contraction Effects 0.000 description 2
- 230000035876 healing Effects 0.000 description 2
- 238000002513 implantation Methods 0.000 description 2
- 210000003041 ligament Anatomy 0.000 description 2
- 239000007787 solid Substances 0.000 description 2
- 238000007711 solidification Methods 0.000 description 2
- 230000008023 solidification Effects 0.000 description 2
- 208000018286 Shoulder injury Diseases 0.000 description 1
- 229910001069 Ti alloy Inorganic materials 0.000 description 1
- 210000003423 ankle Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000007423 decrease Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 210000001513 elbow Anatomy 0.000 description 1
- 210000002683 foot Anatomy 0.000 description 1
- 210000004247 hand Anatomy 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 210000001503 joint Anatomy 0.000 description 1
- 238000009958 sewing Methods 0.000 description 1
- 210000000707 wrist Anatomy 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0491—Sewing machines for surgery
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (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)
- Rheumatology (AREA)
- Materials For Medical Uses (AREA)
Abstract
The utility model belongs to the technical field of medical instrument and specifically relates to a double suture fixing device for acromioclavicular joint is rebuild and relates to, it includes a fixed section of thick bamboo one, a fixed section of thick bamboo two and suture, a fixed section of thick bamboo one and a fixed section of thick bamboo two are made by the knitting, a fixed section of thick bamboo one is placed in the clavicle end, a fixed section of thick bamboo two are placed in the beak suddenly end, a fixed section of thick bamboo is gone up and is offered two holes of stepping down that supply the suture to wear to establish along length direction one, a fixed section of thick bamboo one and a fixed section of thick bamboo two are worn to locate by the suture. This application has the effect of promotion to acromioclavicular joint fixed strength.
Description
Technical Field
The application relates to the field of medical equipment, in particular to a double suture fixing device for acromioclavicular joint reconstruction.
Background
The acromioclavicular joint injury is common clinically, and is mostly caused by direct or indirect violent contact, which accounts for about 4% of the dislocation of the joint of the whole body and 12% of the dislocation of the shoulder injury. The method for treating the acromioclavicular joint injury is more, the complications after treatment are more, and the belt loop double titanium plate for reconstructing the coracoclavicular ligament is a medical instrument which is widely applied. However, since the titanium plate is made of a titanium alloy, a large bone tunnel needs to be drilled with a core drill over the clavicle and the coracoid process during implantation to pass the titanium plate through the tunnel to beneath the coracoid process. After operation, the titanium plate is implanted into a human body for a long time, and the risk of postoperative complications exists.
The related art, for example, the invention application with the application number of 202111592206.4 relates to a ligament reconstruction fixing system, which adopts a sheet-shaped full suture fixing object, is suitable for reconstruction of small joints such as elbows, wrists, hands, feet, ankles and the like, the sheet-shaped fixing object is folded to increase the thickness of the fixing object in the process of suture tightening, so that the fixing object is prevented from falling off, but the edge of a part of braided fabric is still in an uncollapsed state, the reuptake rate of the reuptake through the folding reuptake is lower, and the fixing strength of the acromioclavicular joint is obviously insufficient.
Disclosure of Invention
In order to improve the fixing strength of the acromioclavicular joint, the application provides a double suture fixing device for reconstructing the acromioclavicular joint.
The application provides a double suture fixing device for acromioclavicular joint is rebuild adopts following technical scheme:
the utility model provides a double suture fixing device for acromioclavicular joint is rebuild, includes solid fixed cylinder one, solid fixed cylinder two and suture, gu fixed cylinder one and gu fixed cylinder two are made by the knitting, gu fixed cylinder one is placed in the clavicle end, gu fixed cylinder two is placed in the beak end of suddenly, gu fixed cylinder one is gone up and has been seted up two holes of stepping down that supply the suture to wear to establish one along length direction, gu fixed cylinder one and gu fixed cylinder two are worn to locate by the suture.
Through adopting above-mentioned technical scheme, there is not folding process in the shrink process of a fixed cylinder one and a fixed cylinder two, but with all braided fabric group contracts into globular, the group of cluster contract utilization ratio of braided fabric can reach 100%, the tubular braided fabric group contracts after the volume bigger, and it is more thorough to contract, can effectively improve fixed strength, reduces the risk that the fixture is deviate from.
Optionally, a yielding hole II for the suture to penetrate is formed in the opposite side of each yielding hole I on the fixed cylinder I.
Through adopting above-mentioned technical scheme, the suture accessible is stepped down hole two and is worn to establish a fixed section of thick bamboo one, provides another kind suture and wears to establish the mode and be used for locking a fixed section of thick bamboo one.
Optionally, two yielding holes III for the suture to penetrate are formed in the second fixing barrel along the length direction.
Through adopting above-mentioned technical scheme, the suture accessible is let the hole three and is worn to establish a fixed section of thick bamboo two, provides another kind of suture and wears to establish the mode and be used for locking a fixed section of thick bamboo two.
Optionally, the second fixed cylinder is of a cylindrical structure with one closed end, and the closed end of the second fixed cylinder is provided with four abdicating holes for the suture to penetrate.
By adopting the technical scheme, another shape and style of the second fixed cylinder are provided.
Optionally, the suture is an absorbable thread or a thread made of an ultra-high molecular weight polyethylene material.
By adopting the technical scheme, the influence on human tissues in the process is reduced.
Optionally, the diameter selection range of the first fixed cylinder and the second fixed cylinder is 2-5mm.
By adopting the technical scheme, the requirements of patients of different ages and body types can be met while reliable fixation is provided, and the medical device can be used by doctors in operations.
Optionally, the suture is provided with a drug or growth factor for promoting differentiation of tissue production.
By adopting the technical scheme, the medicine or the growth factor for promoting the tissue production and differentiation is added to accelerate the healing of the human tissue.
Optionally, one of the yielding holes is located at one quarter of the length direction of the fixed cylinder, and the other of the yielding holes is located at three quarters of the length direction of the fixed cylinder.
Through adopting above-mentioned technical scheme, a fixed cylinder stress point is even, the atress is stable.
Optionally, the end of the first fixed cylinder and the end of the second fixed cylinder are both set as a curing part, and the length of the fixed part is selected from the range of 0.5mm to 2mm.
Through adopting above-mentioned technical scheme, the tip of a fixed section of thick bamboo one and a fixed section of thick bamboo two all carries out solidification treatment, can prevent the not hard up risk that reduces the decline of fixed strength under the tightening state of self tip knitting after the solidification.
In summary, the present application includes at least one of the following beneficial technical effects:
1. the shrinkage process of the first fixed cylinder and the second fixed cylinder does not have a folding process, all the braided fabrics are shrunk into a spherical shape, the cluster shrinkage utilization rate of the braided fabrics can reach 100%, the tubular braided fabrics have larger volume after cluster shrinkage, the shrinkage is more thorough, the fixing strength can be effectively improved, and the risk of falling-off of a fixed object is reduced;
2. while providing reliable fixation, the utility model can meet the requirements of patients of different ages and body types for doctors to use in the operation;
3. drugs or growth factors promoting tissue production and differentiation are added to accelerate human tissue healing.
Drawings
Fig. 1 is a schematic structural view of a fixing device of embodiment 1.
Fig. 2 is a schematic view of the suture run of example 1.
Fig. 3 is a sectional view of the first fixed cylinder and the second fixed cylinder of embodiment 1.
Fig. 4 is a diagram showing a fixing device mounting process in embodiment 1.
FIG. 5 is a view showing the completion of the installation of the fixing apparatus of embodiment 1.
Fig. 6 is a sectional view of a first fixed cylinder and a second fixed cylinder of embodiment 2.
Fig. 7 is a schematic structural view of a second fixed cylinder according to embodiment 3.
Fig. 8 is a sectional view of a second fixed cylinder according to embodiment 3.
Description of reference numerals: 1. a first fixed cylinder; 10. a first abdicating hole; 11. a second abdicating hole; 2. a second fixed cylinder; 20. a third abdicating hole; 21. a yielding hole IV; 3. and (6) sewing.
Detailed Description
The present application is described in further detail below with reference to figures 1-8.
Example 1
The embodiment of the application discloses a double suture fixing device for acromioclavicular joint reconstruction. Referring to fig. 1 and 2, a double suture fixing device for acromioclavicular joint reconstruction includes a first fixing cylinder 1, a second fixing cylinder 2 and a suture 3. The first fixed cylinder 1 and the second fixed cylinder 2 in the embodiment are both cylindrical braided fabrics with openings at two ends, and the selectable diameter range is 2mm-5mm; the two ends of the first fixed cylinder 1 are subjected to curing treatment to form a curing part, the length selection range of the curing part is 0.5mm-2mm, similarly, the two ends of the second fixed cylinder 2 are subjected to curing treatment to form a curing part, and the length selection range of the curing part is 0.5mm-2mm; the first fixing cylinder 1 is positioned at the clavicle end after being implanted, and the second fixing cylinder 2 is positioned at the coracocephalic protuberant end after being implanted.
Referring to fig. 2 and 3, a first abdicating hole 10 for the suture 3 to penetrate is formed in one quarter and three quarters of the length direction of the first fixing cylinder 1, and the optional diameter range of the first abdicating hole 10 is 0.5mm-1mm. The suture 3 can be made of an absorbable thread with higher biocompatibility or an ultra-high molecular weight polyethylene material, and the surface of the suture 3 can be provided with drugs or growth factors for promoting tissue production and differentiation so as to reduce the risk of postoperative complications.
One end of the suture 3 penetrates into the first fixed barrel 1 through a yielding hole I10, sequentially penetrates through the second fixed barrel 2, the first fixed barrel 1 and the second fixed barrel 2, and finally penetrates out of the first fixed barrel 1 through another yielding hole I10.
Referring to fig. 4 and 5, the implementation principle of embodiment 1 of the present application is as follows: the physician first drills a bone tunnel through the patient's clavicle and coracoid process, which may be reduced in diameter because no titanium plate is used. Before implantation, the second fixing cylinder 2 is folded at the end part of the inserter, the bone tunnel conveniently penetrates through the clavicle and the coracoid process to reach the lower part of the coracoid process, after the second fixing cylinder 2 penetrates out of the bone tunnel of the coracoid process, the inserter is taken out, the two ends of the suture 3 are tightened, the second fixing cylinder 2 and the first fixing cylinder 1 are respectively tightened and contracted into a group, finally, the two ends of the suture 3 are knotted, redundant sutures are reduced, and the reconstruction of the acromioclavicular joint is completed.
The folding process does not exist in the contraction process of the first fixed cylinder 1 and the second fixed cylinder 2, all the braided fabrics are clustered into a spherical shape, and the cluster contraction utilization rate of the braided fabrics can reach 100%, so that the cylindrical braided fabrics with the same area have larger volume after being clustered, are more thoroughly contracted, can effectively improve the fixing strength, and reduce the risk of the fixed object falling out; the end parts of the first fixed cylinder 1 and the second fixed cylinder 2 are all subjected to curing treatment, and after curing, the risk that the fixing strength is reduced when the braided fabric at the end part of the fixed cylinder is loosened and the tightening state is reduced can be prevented.
Example 2
Referring to fig. 6, the embodiment is different from embodiment 1 in that a yielding hole two 11 is respectively formed on the fixed cylinder 1 at opposite sides of two yielding holes one 10, the suture 3 penetrates into the fixed cylinder 1 through one yielding hole two 11, and then penetrates out of the fixed cylinder 1 through the other yielding hole two 11, and the diameter selectable range of the yielding hole two 11 is 0.5mm-1mm.
And a third abdicating hole 20 is respectively formed in the one fourth and the three fourth of the length direction of the second fixed cylinder 2, the suture 3 penetrates into the second fixed cylinder 2 through the third abdicating hole 20 and then penetrates out of the second fixed cylinder 2 through the third abdicating hole 20, and the optional range of the third abdicating hole 20 is 0.5mm-1mm.
Example 3
Referring to fig. 7 and 8, the embodiment is different from embodiment 1 in that the second fixed cylinder 2 in the embodiment is a cylindrical structure with one closed end, two yielding holes four 21 are formed in the closed end of the second fixed cylinder 2, the suture 3 penetrates through the second fixed cylinder 2 through one yielding hole four 21, and then penetrates through the second fixed cylinder 2 through the other yielding hole four 21.
The above embodiments are preferred embodiments of the present application, and the protection scope of the present application is not limited by the above embodiments, so: all equivalent changes made according to the structure, shape and principle of the present application shall be covered by the protection scope of the present application.
Claims (9)
1. A double suture fixing device for acromioclavicular joint reconstruction is characterized in that: including a fixed cylinder (1), a fixed cylinder two (2) and suture (3), a fixed cylinder (1) and a fixed cylinder two (2) are made by the knitting, place in the clavicle end in a fixed cylinder (1), place in the beak suddenly end in a fixed cylinder two (2), set up two holes of stepping down (10) that supply suture (3) to wear to establish along length direction on a fixed cylinder (1), a fixed cylinder (1) and a fixed cylinder two (2) are worn to locate in suture (3).
2. The double suture fixation device for acromioclavicular joint reconstruction as recited in claim 1, wherein: and a yielding hole II (11) for the suture thread (3) to penetrate is formed in the opposite side of each yielding hole I (10) on the fixed cylinder I (1).
3. The double suture fixation device for acromioclavicular joint reconstruction as recited in claim 1 or 2, wherein: and two yielding holes III (20) for the suture thread (3) to penetrate are formed in the second fixing cylinder (2) along the length direction.
4. The double suture fixation device for acromioclavicular joint reconstruction as recited in claim 1, wherein: two (2) fixed cylinder are one end confined tubular structure, two hole of stepping down (21) that supply suture (3) to wear to establish are seted up to the blind end of two (2) fixed cylinder.
5. The double suture fixation device for acromioclavicular joint reconstruction as recited in claim 1, wherein: the suture (3) is an absorbable thread or a thread made of an ultra-high molecular weight polyethylene material.
6. The double suture fixation device for acromioclavicular joint reconstruction as recited in claim 1, wherein: the diameter selection range of the first fixed cylinder (1) and the second fixed cylinder (2) is 2-5mm.
7. The double suture fixation device for acromioclavicular joint reconstruction as recited in claim 1, wherein: the suture (3) is provided with a drug or a growth factor for promoting the tissue production and differentiation.
8. The double suture fixation device for acromioclavicular joint reconstruction as recited in claim 1, wherein: one of the yielding holes I (10) is located at one quarter of the length direction of the fixed cylinder I (1), and the other of the yielding holes I (10) is located at three quarters of the length direction of the fixed cylinder I (1).
9. The double suture fixation device for acromioclavicular joint reconstruction as recited in claim 1, wherein: the end part of the first fixed cylinder (1) and the end part of the second fixed cylinder (2) are both set as a curing part, and the selected value range of the length of the fixed part is 0.5mm-2mm.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202211297759.1A CN115590567B (en) | 2022-10-22 | 2022-10-22 | Double-suture fixing device for acromioclavicular joint reconstruction |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202211297759.1A CN115590567B (en) | 2022-10-22 | 2022-10-22 | Double-suture fixing device for acromioclavicular joint reconstruction |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN115590567A true CN115590567A (en) | 2023-01-13 |
| CN115590567B CN115590567B (en) | 2024-07-05 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202211297759.1A Active CN115590567B (en) | 2022-10-22 | 2022-10-22 | Double-suture fixing device for acromioclavicular joint reconstruction |
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| Country | Link |
|---|---|
| CN (1) | CN115590567B (en) |
Citations (16)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20070185532A1 (en) * | 2006-02-03 | 2007-08-09 | Arthrotek, Inc. | Soft tissue repair assembly and associated method |
| US20090306711A1 (en) * | 2006-02-03 | 2009-12-10 | Biomet Sports Medicine, Llc | Method for Tissue Fixation |
| US20140052179A1 (en) * | 2012-08-17 | 2014-02-20 | Arthrex, Inc. | Soft anchors with soft eyelets |
| US20140243891A1 (en) * | 2013-02-25 | 2014-08-28 | Arthrex, Inc. | Tissue protector suture constructs |
| CN104053406A (en) * | 2011-11-14 | 2014-09-17 | 亚瑟罗凯尔公司 | Tissue repair assembly |
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| US20160074030A1 (en) * | 2014-09-11 | 2016-03-17 | Arthrex, Inc. | Soft anchor assembly with non-sliding flexible strand and techniques for use |
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| KR102018630B1 (en) * | 2018-04-20 | 2019-09-04 | (주)오스테오닉 | folder-type all-suture anchor |
| CN111214265A (en) * | 2020-03-11 | 2020-06-02 | 上海利格泰生物科技有限公司 | Full-seam-line fixing device with double-line structure, using method and rivet with line |
| EP3738520A2 (en) * | 2019-05-16 | 2020-11-18 | Smith & Nephew, Inc. | Tissue repair assembly |
| CN112754559A (en) * | 2021-01-27 | 2021-05-07 | 北京天星博迈迪医疗器械有限公司 | Full suture anchor and anchor traction forming suit |
| CN112971884A (en) * | 2021-02-04 | 2021-06-18 | 杭州锐健马斯汀医疗器材有限公司 | Suture anchor implantation device |
| CN114081556A (en) * | 2021-12-23 | 2022-02-25 | 北京德益达美医疗科技有限公司 | Ligament reconstruction fixation system |
| CN114767329A (en) * | 2022-06-21 | 2022-07-22 | 北京天星博迈迪医疗器械有限公司 | Knee joint cruciate ligament repair fixing device |
| CN115089343A (en) * | 2022-06-08 | 2022-09-23 | 上海利格泰生物科技有限公司 | Medical fixing device and method for producing same |
-
2022
- 2022-10-22 CN CN202211297759.1A patent/CN115590567B/en active Active
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|---|---|---|---|---|
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| US20090306711A1 (en) * | 2006-02-03 | 2009-12-10 | Biomet Sports Medicine, Llc | Method for Tissue Fixation |
| CN104053406A (en) * | 2011-11-14 | 2014-09-17 | 亚瑟罗凯尔公司 | Tissue repair assembly |
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| US20180221010A1 (en) * | 2017-02-09 | 2018-08-09 | Arthrex, Inc. | Knotless self-locking anchor constructs and methods of tissue fixation |
| KR102018630B1 (en) * | 2018-04-20 | 2019-09-04 | (주)오스테오닉 | folder-type all-suture anchor |
| EP3738520A2 (en) * | 2019-05-16 | 2020-11-18 | Smith & Nephew, Inc. | Tissue repair assembly |
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| Publication number | Publication date |
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| CN115590567B (en) | 2024-07-05 |
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