CN103054666B - External fixation treatment device for distal radius fracture - Google Patents
External fixation treatment device for distal radius fracture Download PDFInfo
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- CN103054666B CN103054666B CN201210568344.3A CN201210568344A CN103054666B CN 103054666 B CN103054666 B CN 103054666B CN 201210568344 A CN201210568344 A CN 201210568344A CN 103054666 B CN103054666 B CN 103054666B
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- clamping plate
- forearm
- palm
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- outside
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- 206010037802 Radius fracture Diseases 0.000 title claims abstract description 18
- 210000000245 forearm Anatomy 0.000 claims abstract description 76
- 239000000853 adhesive Substances 0.000 claims description 10
- 230000001070 adhesive effect Effects 0.000 claims description 10
- 210000003797 carpal joint Anatomy 0.000 claims description 10
- 230000000694 effects Effects 0.000 claims description 10
- 238000002560 therapeutic procedure Methods 0.000 claims description 7
- 239000011230 binding agent Substances 0.000 claims description 5
- 210000003857 wrist joint Anatomy 0.000 abstract 1
- 208000010392 Bone Fractures Diseases 0.000 description 13
- 206010017076 Fracture Diseases 0.000 description 13
- 230000009467 reduction Effects 0.000 description 10
- 230000009286 beneficial effect Effects 0.000 description 5
- 238000000034 method Methods 0.000 description 5
- OSGAYBCDTDRGGQ-UHFFFAOYSA-L calcium sulfate Chemical compound [Ca+2].[O-]S([O-])(=O)=O OSGAYBCDTDRGGQ-UHFFFAOYSA-L 0.000 description 4
- 238000004904 shortening Methods 0.000 description 4
- 230000017531 blood circulation Effects 0.000 description 3
- 210000000988 bone and bone Anatomy 0.000 description 3
- 238000006073 displacement reaction Methods 0.000 description 3
- 210000000707 wrist Anatomy 0.000 description 3
- 206010017085 Fracture malunion Diseases 0.000 description 2
- 230000009471 action Effects 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 239000003814 drug Substances 0.000 description 2
- 210000003414 extremity Anatomy 0.000 description 2
- 210000004247 hand Anatomy 0.000 description 2
- 230000000399 orthopedic effect Effects 0.000 description 2
- 239000011505 plaster Substances 0.000 description 2
- 238000011084 recovery Methods 0.000 description 2
- 230000001225 therapeutic effect Effects 0.000 description 2
- 208000000536 Malunited Fractures Diseases 0.000 description 1
- 206010061363 Skeletal injury Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 230000008407 joint function Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 230000001404 mediated effect Effects 0.000 description 1
- 238000006748 scratching Methods 0.000 description 1
- 230000002393 scratching effect Effects 0.000 description 1
- 230000035807 sensation Effects 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 210000001364 upper extremity Anatomy 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
Landscapes
- Orthopedics, Nursing, And Contraception (AREA)
Abstract
The invention discloses an external fixation treatment device for distal radius fracture. The external fixation treatment device for the distal radius fracture comprises a forearm palmar splint for attaching to and fixing the palm side of the forearm of a patient, an inner side splint, an outer side splint, a forearm dorsal splint for attaching to and fixing the upper side of the forearm of the patient, wherein the inner side splint and the outer side splint are used for attaching to and fixing the inner side and the outer side of the forearm of the patient. The forearm palmar splint, the inner side splint, the outer side splint and the forearm dorsal splint are bound on the periphery of the forearm of the patient so as to fix strip-shaped components of the hand and the forearm circumferentially. The external fixation treatment device further comprises a palm cover for wrapping the palm of the patient and elastic inserting strips for performing flexible limit and extension on the forearm relative to the wrist joint of the patient. The elastic inserting strips are respectively connected between the palm cover and the forearm dorsal splint, the palm cover and the inner side splint, the palm cover and the outer side splint and the palm cover and the outer side of the forearm palmar splint.
Description
[technical field]
The present invention relates to medical device, particularly relate to distal radius fractures external fixation device.
[background technology]
Radius far-end fracture is fracture the most common in fracture of upper limb, and Distal radius fracture is often referred to the fracture of scratching within bone distal end portion 3cm, is orthopaedics Emergency call commonly encountered diseases, is mainly in old people and person between twenty and fifty.Distal radius participates in forming carpal joint, is a kind of common Bone Injury disease at clinical middle radius far-end fracture.When meeting accident, people can be subconscious for supporting, and therefore causes wrist to be easy to injured.From 1406 Christian eras, orthopedics department doctor carries out manipulation according to fracture of straight type to the feature of dorsal displacement, until described by the doctor trained in Western medicine of Abraham Colles in 1814 just has, and the manual reduction Boards wall of expectant treatment of having passed by therebetween, plaster fixing, to operative treatment.Operative treatment comprises the Therapeutic Method that Kirschner wire fixation method, exterior fixation bracket fixation, various open reduction and Kirschner wire fixation method, miniature internal fixation by intramedullary pin, balloon expandable reset bone grafting operation and carpal joint mirror guide lower open reduction.
Traditional therapeutic methods for Distal Radial Fracture often adopts the method for operative treatment, clamping plate or wrist Gypsum Fibrosum External fixation Distal radius fracture, general Boards wall mode is not very stable, make therapeutic effect undesirable, and likely cause easy secondary damage, cause the complication such as malunion of fracture and joint function disturbance; And Gypsum Fibrosum extenal fixation effect imprecise, often occur fracture redisplacement, and Gypsum Fibrosum is heavier, makes moist and meet easy loose inefficacy after water, plaster fixing also needs to fix carpal joint and adjacent finger simultaneously, obviously causes the inconvenience of life and work; Although adopt operative treatment fixation for treatment fracture of radius fixing comparatively reliable, be the remedy measures having wound after all, the risk of pin site infection can be brought, and costly, patient compliance is also poor.
In a word, clamping plate or wrist Gypsum Fibrosum External fixation, only can solve fixing, the adjustment after fracture fixation has difficulties with not convenient; The shortening of radius effectively can not be prevented after fixing, and the stability of radius is relatively poor after resetting, easy appearance displacement, in order to recover form of fracturing further, often has to again reset, desirable if reset, still there is the probability of above-mentioned fixing and displacement, if it is undesirable to reset, so just have to carry out operative treatment, so virtually just add the cost of medical service of patient, the medical burden increased the weight of.This just causes, and much scratch bone patient at present because do not have comfortable effective extenal fixation, do not undergo surgery again internal fixtion, causing fracture malunion when being shifted, having a strong impact on work and the life of patient.
Under comparing, manual reduction Set by small splints from outside method is Therapeutic Method that is the easiest, cheap and applied range, especially in the place that extensive rural area and town and country are short of in conjunction with medical condition, manual reduction Boards wall has just become unique therapeutic scheme, but the shortcoming of Boards wall has, and needs are clinical to be avoided as much as possible.Manual reduction Boards wall method, it is the traditional therapy of orthopedics and traumatology of Chinese medicine, we are studying raising maneuver how always over the past thousands of years, but in clamping plate improvement (except clamping plate material) and how to utilize attachment device to reduce in Boards wall, rarely have report and research.
[summary of the invention]
The invention provides a kind of structure simple, be easy to dismounting, pliability is good, has traction action to carpal joint, prevents the distal radius fractures external fixation device of radial shortening.
In order to realize foregoing invention object, the technical solution used in the present invention is:
Distal radius fractures external fixation device, comprise the forearm palmar clamping plate on the downside of for the immobilized patients forearm that reclines, for inner side clamping plate and the outside clamping plate of the inside and outside both sides of immobilized patients forearm that recline, and the dorsal forearm clamping plate be fixed on the upside of patient forearm that recline; Described forearm palmar clamping plate, inner side clamping plate, outside clamping plate and dorsal forearm clamping plate are bundled in the strip-shaped members that the fixing hands of circumference and forearm are convenient in patient forearm periphery; Described therapy equipment also comprises the palm set for wrapping up patient's palm, and for carrying out the elasticity cutting of flexible limit and drawing-off relative to forearm to patient's palm; Described elasticity cutting is connected to the outside of described palm set and described dorsal forearm clamping plate, described palm set and described inner side clamping plate, described palm set and described outside clamping plate, described palm set and described forearm palmar clamping plate.
Further, described elasticity cutting two ends are respectively equipped with the adhesive portion being convenient to the outer surface being fixed on palm set or dorsal forearm clamping plate or inner side clamping plate or outside clamping plate or forearm palmar clamping plate, and the outer surface of described palm set, dorsal forearm clamping plate, inner side clamping plate, outside clamping plate, forearm palmar clamping plate respectively correspondence is provided with adhesive portion or carrier.
Further, carrier is respectively equipped with at the outer surface of palm set, dorsal forearm clamping plate, inner side clamping plate, outside clamping plate, forearm palmar clamping plate; The two ends correspondence of described elasticity cutting is inserted in described carrier.
Further, described strip-shaped members is binder or the strap of 1 ~ 2 centimetre wide.
Further, on rear side of described palm set, the back side is also provided with locking belt, and the palm of locking belt locking palm set penetrates mouth and is convenient to palm set and is tightly placed on palm.
Further, described strip-shaped members with bind the elasticity be connected between forearm palmar clamping plate, inner side clamping plate, outside clamping plate and dorsal forearm clamping plate and meet each immovable bandage move left and right 1 centimetre at the most under the pulling force effect of 1 kilogram.
The invention has the beneficial effects as follows:
The present invention is fixing after being applied to manual reduction, by the elasticity cutting be connected with dorsal forearm clamping plate, inner side clamping plate and clamping plate corresponding position, outside in palm set, to in the treatment of patient, forearm palmar clamping plate, inner side clamping plate, outside clamping plate and dorsal forearm clamping plate can either be utilized carpal joint to be carried out the fixing of surrounding, carpal palmar, ulnar side and oar are inclined and can be mediated by the elastic force of elasticity cutting, be convenient to fix, carry out flexible limit location; Traction action can be carried out by elasticity cutting to carpal joint again, prevent the cripetura of distal radius, affect the effect after the reduction of the fracture; In addition, palm set is convenient to, except the fixing meaning of elastic plugin, also help functional exercise except having, and be convenient to palm four refer to telescoping collapse, are convenient to blood backflow, are beneficial to the advantage of detumescence.
This distal radius fractures external fixation device is effectively avoided and is decreased the deficiency of traditional Boards wall, effectively can prevent the shortening of radius, the good stability of radius after resetting; This distal radius fractures external fixation device is easy to use simultaneously, clinical effectiveness is good, workable, be easy to grasp, low cost, greatly reduces the cost of medical service of entire patient, alleviates medical burden, especially in the place that extensive rural area and town and country are short of in conjunction with medical condition, there is wide application future.
[accompanying drawing explanation]
Fig. 1 is three-dimensional using state structural representation of the present invention;
Fig. 2 is the structural representation of clamping plate outside the present invention;
Fig. 3 is the structural representation of clamping plate inside the present invention;
Fig. 4 is the structural representation of dorsal forearm clamping plate of the present invention;
Fig. 5 is the structural representation of forearm palmar clamping plate of the present invention;
Fig. 6 is the structural representation of palm set of the present invention.
[detailed description of the invention]
Distal radius fractures external fixation device, as shown in Figures 1 to 6, comprise the forearm palmar clamping plate 1 on the downside of for the immobilized patients forearm that reclines, for inner side clamping plate 2 and the outside clamping plate 3 of the inside and outside both sides of immobilized patients forearm that recline, and be posted by the dorsal forearm clamping plate 4 on the upside of patient forearm; Described forearm palmar clamping plate 1, inner side clamping plate 2, outside clamping plate 3 and dorsal forearm clamping plate 4 are bundled in the strip-shaped members 5 that the fixing hands of circumference and forearm are convenient in patient forearm periphery, described strip-shaped members 5 is the binder of 1 ~ 2 centimetre wide; This therapy equipment also comprises the palm set 6 for wrapping up patient's palm, and for carrying out the elasticity cutting 7 of flexible limit and drawing-off to patient's carpal joint, palm set 6 is conducive to palm and carries out functional exercise, be convenient to palm four refer to telescoping collapse, promote acra blood circulation, be beneficial to detumescence, be convenient to the carpal recovery of patient; Described elasticity cutting 7 is connected to palm set 6 and dorsal forearm clamping plate 4, inner side clamping plate 2, outside between outside clamping plate 3 and forearm palmar clamping plate 1; Described strip-shaped members 5 with bind the elasticity be connected between forearm palmar clamping plate 1, inner side clamping plate 2, outside clamping plate 3 and dorsal forearm clamping plate 4 and meet each clamping plate move up and down 1 centimetre at the most under the pulling force effect of 1 kilogram.
Continue as shown in Figures 1 to 6, be respectively equipped with at elasticity cutting 7 two ends and be convenient to the adhesive portion 8 of outer surface that elasticity cutting 7 is bonded and fixed to palm set 6, dorsal forearm clamping plate 4, inner side clamping plate 2, outside clamping plate 3, forearm palmar clamping plate 1, adhesive portion 8 can be bonding blanket net or the VELCRO that cover is wrapped in elasticity cutting end, be respectively equipped with adhesive portion or carrier 9 in the adhesive portion 8 at corresponding elasticity cutting 7 two ends of the outer surface of palm set 6, dorsal forearm clamping plate 4, inner side clamping plate 2 and outside clamping plate 3, adhesive portion can be VELCRO; Carrier can be a pocketed thing.Certainly, when arranging pocketed thing at the outer surface of palm set 6, dorsal forearm clamping plate 4, inner side clamping plate 2 and outside clamping plate 3, corresponding elasticity cutting 7 two ends can not need adhesive portion.As shown in Figure 6, on rear side of palm set 6, the back side is also provided with locking belt 60, and the palm that locking belt 60 locks palm set penetrates mouth 61 and is convenient to palm set and is tightly placed on palm.
To in the treatment of patient, manual reduction is first utilized successfully to be resetted by radius far-end fracture; Then, dorsal forearm clamping plate 4, inner side clamping plate 2, outside clamping plate 3, palmar clamping plate 1 are carried out folder by fixing to forearm simultaneously, then twine cover binder 5 and be fixed; Then, by elasticity cutting 7, palm set 6 and dorsal forearm clamping plate 4, inner side clamping plate 2, outside clamping plate 3 and palmar clamping plate 1 are flexibly connected, utilize elasticity cutting 7 resilience force effect in the bent state, carpal joint two ends are made to produce drafting force, stretch support restriction effect is carried out to carpal joint, prevent radial shortening, affect the clinical effectiveness after the reduction of the fracture.
In addition, because the present invention utilizes simple clamping plate, elasticity cutting and bandage to fix spacing suffering limb, the practical situation being conducive to the patient observed according to doctor carries out suitable adjustment treatment to the degree of tightness of bandage, accomplish degree of tightness appropriateness (generally speaking, meet after wrapping each immovable bandage move left and right 1 centimetre at the most under the pulling force effect of 1 kilogram be as the criterion).In addition, due to simple and light, be convenient to patient activity to promote extremity repercussive, and be conducive to doctor and observe acra blood circulation, note skin temperature, sensation, color and refer to the degree of tightness of emotionally condition adjustment binding.Also have palm set 6 structure in the present invention to be beneficial to very much palm and carry out functional exercise, be convenient to the elastic shrinkage that four of palm refers to telescoping collapse and palm cover, promote acra blood circulation, be beneficial to detumescence, be convenient to the carpal recovery of patient.
Certainly, over the course for the treatment of, doctor reasonably utilizes this device can obtain better effect in conjunction with the reality of work of oneself.
The above embodiment is just preferred embodiment of the present invention, not limits practical range of the present invention with this, the equivalence change that all shapes according to the present invention, structure and principle are done, and all should be covered by protection scope of the present invention.
Claims (6)
1. distal radius fractures external fixation device, comprise the forearm palmar clamping plate for the immobilized patients forearm palmar that reclines, for inner side clamping plate and the outside clamping plate of the inside and outside both sides of immobilized patients forearm that recline, and the dorsal forearm clamping plate be fixed on the upside of patient forearm that recline; Described forearm palmar clamping plate, inner side clamping plate, outside clamping plate and dorsal forearm clamping plate are bundled in the strip-shaped members that the fixing hands of circumference and forearm are convenient in patient forearm periphery; It is characterized in that:
Described therapy equipment also comprises the palm set for wrapping up patient's palm, and for carrying out the elasticity cutting of flexible limit and drawing-off relative to carpal joint to patient's palm; Described elasticity cutting is connected to the outside of described palm set and described dorsal forearm clamping plate, described palm set and described inner side clamping plate, described palm set and described outside clamping plate, described palm set and described forearm palmar clamping plate.
2. distal radius fractures external fixation device according to claim 1, it is characterized in that, described elasticity cutting two ends are respectively equipped with the adhesive portion being convenient to the outer surface being fixed on palm set or dorsal forearm clamping plate or inner side clamping plate or outside clamping plate or forearm palmar clamping plate, and the outer surface of described palm set, dorsal forearm clamping plate, inner side clamping plate, outside clamping plate, forearm palmar clamping plate respectively correspondence is provided with adhesive portion or carrier.
3. distal radius fractures external fixation device according to claim 1, is characterized in that, is respectively equipped with carrier at the outer surface of palm set, dorsal forearm clamping plate, inner side clamping plate, outside clamping plate, forearm palmar clamping plate; The two ends correspondence of described elasticity cutting is inserted in described carrier.
4. distal radius fractures external fixation device according to claim 1, is characterized in that, described strip-shaped members is binder or the strap of 1 ~ 2 centimetre wide.
5. distal radius fractures external fixation device according to claim 1, is characterized in that, on rear side of described palm set, the back side is also provided with locking belt, and the palm of locking belt locking palm set penetrates mouth and is convenient to palm set and is tightly placed on palm.
6. distal radius fractures external fixation device according to claim 1, it is characterized in that, described strip-shaped members with bind the elasticity be connected between forearm palmar clamping plate, inner side clamping plate, outside clamping plate and dorsal forearm clamping plate and meet each fixing binder move left and right 1 centimetre at the most under the pulling force effect of 1 kilogram.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201210568344.3A CN103054666B (en) | 2012-12-24 | 2012-12-24 | External fixation treatment device for distal radius fracture |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201210568344.3A CN103054666B (en) | 2012-12-24 | 2012-12-24 | External fixation treatment device for distal radius fracture |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN103054666A CN103054666A (en) | 2013-04-24 |
| CN103054666B true CN103054666B (en) | 2015-04-22 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201210568344.3A Active CN103054666B (en) | 2012-12-24 | 2012-12-24 | External fixation treatment device for distal radius fracture |
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Families Citing this family (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104510551B (en) * | 2013-09-28 | 2016-08-17 | 沈阳新松机器人自动化股份有限公司 | Hand clamping device |
| CN110269734B (en) * | 2018-03-14 | 2025-03-04 | 上海交通大学医学院附属瑞金医院 | A non-invasive traction splint |
| CN109106496A (en) * | 2018-07-11 | 2019-01-01 | 芜湖帮许来诺医疗设备科技有限公司 | A kind of Novel medical clamping plate |
| CN112569037A (en) * | 2019-09-29 | 2021-03-30 | 谢志进 | Traction reduction fixing support for radius distal end fracture |
| CN112190383B (en) * | 2020-10-09 | 2021-10-29 | 无锡市第九人民医院 | Retractor for maintaining non-displacement of distal radius fracture position |
| CN113893077A (en) * | 2021-11-15 | 2022-01-07 | 上海市黄浦区香山中医医院 | Radius distal end fracture fixing device with longitudinal traction function |
| CN116725757A (en) * | 2023-07-11 | 2023-09-12 | 重庆市九龙坡区中医院 | Rapid strapping traction splint brace for distal radius fractures |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE3910318A1 (en) * | 1989-03-30 | 1990-10-04 | Hauber Ferd Gmbh | Wrist support |
| CN2160363Y (en) * | 1992-10-11 | 1994-04-06 | 张建设 | Fraction traction fixator for forearm |
| CN1183945A (en) * | 1997-04-15 | 1998-06-10 | 席家站 | Device for deaf person to sense sound |
| CN100438836C (en) * | 2004-06-18 | 2008-12-03 | 奥佩特股份公司 | Wrist corrector |
| CN203183098U (en) * | 2012-12-24 | 2013-09-11 | 卜晗 | Distal radius fracture external fixation and treatment device |
-
2012
- 2012-12-24 CN CN201210568344.3A patent/CN103054666B/en active Active
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE3910318A1 (en) * | 1989-03-30 | 1990-10-04 | Hauber Ferd Gmbh | Wrist support |
| CN2160363Y (en) * | 1992-10-11 | 1994-04-06 | 张建设 | Fraction traction fixator for forearm |
| CN1183945A (en) * | 1997-04-15 | 1998-06-10 | 席家站 | Device for deaf person to sense sound |
| CN100438836C (en) * | 2004-06-18 | 2008-12-03 | 奥佩特股份公司 | Wrist corrector |
| CN203183098U (en) * | 2012-12-24 | 2013-09-11 | 卜晗 | Distal radius fracture external fixation and treatment device |
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| CN103054666A (en) | 2013-04-24 |
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