CN103417274A - Closed reduction surgical frame for tibial fracture of patient - Google Patents

Closed reduction surgical frame for tibial fracture of patient Download PDF

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Publication number
CN103417274A
CN103417274A CN201210153980XA CN201210153980A CN103417274A CN 103417274 A CN103417274 A CN 103417274A CN 201210153980X A CN201210153980X A CN 201210153980XA CN 201210153980 A CN201210153980 A CN 201210153980A CN 103417274 A CN103417274 A CN 103417274A
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China
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bracket
tail
fracture
closed reduction
front rack
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CN201210153980XA
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CN103417274B (en
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董文伟
史增元
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Individual
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Abstract

The invention discloses a closed reduction surgical frame for tibial fracture of a patient, and relates to a medical instrument for orthopedic surgery. The surgical frame mainly comprises a movable triangular surgical frame body. The triangular surgical frame body comprises a base frame, a front bracket and a rear bracket. A connection mode of the closed reduction surgical frame includes that front bracket upper adjusting screws on two sides of the front bracket and rear bracket upper adjusting screws on two sides of the rear bracket are correspondingly movably connected with one another by concentric shafts and rotary fixing nuts to form two independent support pillars, so that thigh fixing supports are jointly formed. The base frame is movably connected with the other end of the rear bracket by a base frame fixing rod. A fixing clamp shaft at the other end of the front bracket is movably connected with one of clamp grooves of the base frame. The closed reduction surgical frame has the advantages that a continuous traction effect can be realized during closed reduction for the tibial fracture of the patient, and the stability of reduction and the stability of a fracture end of the patient are maintained; compression on the nerves of the local popliteal blood vessels of the patient due to traction is prevented; flexion and extension angles of the knee joint of the patient can be adjusted at any time as needed during surgery, and the closed reduction surgical frame is simple in structure and easy to operate.

Description

Fracture of tibia closed reduction operation bracket
Technical field
The present invention relates to a kind of bone surgery medical apparatus and instruments, particularly a kind of fracture of tibia closed reduction operation bracket.
Background technology
Current fracture of tibia closed reduction, mainly comprise artificial manual reduction and use Special reset instrument two classes that reset.
One, artificial manual reduction
At present, artificial manual reduction is still a kind of reset mode that the fracture of tibia closed reduction is commonly used.Reset operation needs to complete under many people's cooperations, and the reverse traction by the far and near end of fracturing, make fracture end reduction.Owing to manually drawing, resetting and remaining unstable, usually need repeatedly reset, repeat perspective, sometimes also to go the fracture end open reduction, obviously affected the operation quality of fracture of tibia, also increased the intake of patient and medical worker x line simultaneously.
Two, the Special reset instrument resets
" tibia cross locking marrow nail surgical retractor resetting frame " that application (patent) number is 200720110055.3 is a kind of operation reduction by traction frame consisted of parts such as support, draw bar, guide posts.The reset mode of this device is: a pair of active force and the counteracting force that between large leg support and pedal, form when going down on one's knees make the traction of fracture of tibia end, reset.Because large leg support is not exclusively parallel with tibial shaft with the line between pedal, at a certain angle between the direction of formed power and counteracting force and tibial shaft during traction.Reset mode with respect to parallel tibial shaft traction, in the situation that produce same pull strength, it is larger that this installs required power, the easily compressing of Zao Cheng popliteal nervus vasculairs and the stretch injury of common peroneal nerve, and also easily cause the front and back displacement of fracture end perpendicular to the component of tibial shaft direction.Fixing distal femur carrier structure can not need to adjust knee joint angle according to operation simultaneously, owing to lacking the holdout device of going down on one's knees, draws, while resetting, need control for a long time kneed flexion, is prone to and remains unstable.And the opacity of this device to the x line, make it in reduction of the fracture process, can hinder different directions x ray examination.Therefore, limited this resetting means in clinical extensive use.
Summary of the invention
Main purpose of the present invention is, by a kind of device that makes fracture of tibia reach the closed reduction effect, eliminates above-mentioned defect, realizes continuous traction, maintains and reset and fracture end stable.
Second purpose of the present invention be, obtaining a kind ofly can need in art to adjust at any time knee joint angle according to operation, and make fracture of tibia reach the operation device of closed reduction.
The 3rd purpose of the present invention be, obtains a kind of fracture of tibia traction, while resetting, Dui Ju Bu popliteal nervus vasculairs do not cause compressing, and make fracture of tibia reach the operation device of closed reduction.
The 4th purpose of the present invention is, obtains a kind of simple in structure, convenient sterilizing, just can maneuverable operation device without patient's proficiency level, experience.
The 5th purpose of the present invention be, obtains a kind of transparently to the x line, in fracture of tibia closed reduction operative process, can not hinder the operation device of different directions x ray examination.
Technical scheme of the present invention is as follows: a kind of fracture of tibia closed reduction operation bracket is characterized in that: by underframe, front rack, tail-bracket, is jointly formed one can activity the triangle operation bracket.Described underframe is rectangle, and by the rectangular tube with draw-in groove, with the underframe stationary pipes, is fixedly connected with and forms.There is adjusting screw(rod) under the front rack adjusted screw rod of reverse screw tap and front rack the upper and lower both sides of described front rack, and between screw rod, by two ends, the front rack adjusting nut with corresponding screw tap is connected.There is adjusting screw(rod) under the tail-bracket adjusted screw rod of reverse screw tap and tail-bracket the upper and lower both sides of described tail-bracket, and between screw rod, by two ends, the tail-bracket adjusting nut with corresponding screw tap is connected.The tail-bracket adjusted screw rod on the front rack adjusted screw rod on described front rack both sides and tail-bracket both sides, by concentric shafts and the female flexible connection of rotary fixing screw, form two independently support columns, jointly forms the thigh fixed support.There is the tail-bracket fixed bar below of described tail-bracket thigh fixed support.Described underframe is with respect to the other end of draw-in groove, by the other end flexible connection of underframe fixed bar and tail-bracket.Described front rack has the draw-in groove of fixing axis and underframe to be flexibly connected with respect to the other end of thigh analog bracket.The top of described front rack axis, have and front rack ankle fixed support connected vertically.Described ankle fixed support is square, by four round tubes, is fixedly connected with and is formed.
All parts of the present invention is preferably made by the material to x line highly transparent, but also can be formed by other material.
The present invention can provide continuous traction when the fracture of tibia closed reduction, maintains and resets and fracture end stable.Can not cause because of traction the compressing of Ju Bu popliteal nervus vasculairs.Can stretch angle in the wrong, simple in structure, easy operation according to needing to adjust at any time knee joint in art simultaneously.Therefore, the present invention has substantive distinguishing features and marked improvement.
The accompanying drawing explanation
The front view that Fig. 1 is fracture of tibia closed reduction operation bracket.
The side view that Fig. 2 is fracture of tibia closed reduction operation bracket.
The top view that Fig. 3 is fracture of tibia closed reduction operation bracket.
1. rotary fixing screw mothers in figure, 2. front rack adjusted screw rod, 3. front rack adjusting nut, 4. round tube, 5. adjusting screw(rod) under front rack, 6. axis, 7. underframe stationary pipes, 8. draw-in groove, 9. rectangular tube, 10. adjusting screw(rod) under tail-bracket, 11. tail-bracket adjusting nuts, 12. tail-bracket adjusted screw rods, 13. the tail-bracket fixed bar, 14. concentric shafts, 15. thigh fixed supports, 16. front rack, 17. underframe, 18. tail-brackets.
The specific embodiment
Below in conjunction with drawings and Examples, the present invention is further described:
In Fig. 1, Fig. 2, Fig. 3, fracture of tibia closed reduction operation bracket, comprise by underframe 17, front rack 16, tail-bracket 18, is jointly formed one can activity the triangle operation bracket.Described underframe 17 is rectangle, and by the rectangular tube 9 with draw-in groove 8, with underframe stationary pipes 7, is fixedly connected with and forms.Described front rack has adjusting screw(rod) 5 under the front rack adjusted screw rod 2 of reverse screw tap and front rack in both sides Shang Xia 16, and between screw rod, by two ends, the front rack adjusting nut 3 with corresponding screw tap is connected.Described tail-bracket has adjusting screw(rod) 10 under the tail-bracket adjusted screw rod 12 of reverse screw tap and tail-bracket in both sides Shang Xia 18, and between screw rod, by two ends, the tail-bracket adjusting nut 11 with corresponding screw tap is connected.The front rack adjusted screw rod 2 on described front rack 16 both sides and the tail-bracket adjusted screw rod 12 on tail-bracket 18 both sides, be flexibly connected by concentric shafts 14 and rotary fixing screw female 1, forms two independently support columns, jointly forms thigh fixed support 15.There is tail-bracket fixed bar 13 below of described tail-bracket 18 thigh fixed supports 15.Described underframe 17, with respect to the other end of draw-in groove 8, is flexibly connected by underframe fixed bar 7 and the other end of tail-bracket 18.Described front rack 16 has fixing axis 6 and the draw-in groove 8 of underframe to be flexibly connected with respect to the other end of thigh analog bracket 15.The top of described front rack 16 axis 6, have and front rack 16 ankle fixed support 19 connected vertically.Described ankle fixed support 19 is square, by four round tubes 4, is fixedly connected with and is formed.
When implementing the operation of fracture of tibia closed reduction, flexing knee joint 90 degree left and right.Thigh is placed in tail-bracket 18 tops, and thigh fixed support 15 difference corresponding support biceps femoris tendons and semitendinosus m., semimembranosus m. tendon, can prevent the compressing of Dui Ju Bu popliteal nervus vasculairs bundle.Rotation tail-bracket adjusting nut 11, to adapt to different patient's thigh length needs.Shank is placed in front rack 16 tops, and ankle and foot is fixed in ankle fixed support 19.Rotation front rack adjusting nut 3, can provide lasting, stable traction to fracture end, reaches the purpose of fracture of tibia closed reduction.In axis 6 is placed in the different draw-in groove of underframe 17 8, can form the angular adjustment that knee joint is different, meet needs in art.
Front rack 16, tail-bracket 18 fold by concentric shafts 14, and tail-bracket 18 is folding with underframe 17 by underframe fixed bar 7 again, and when performing the operation, not used time front rack 16, tail-bracket 18 and underframe 17 fold convenient sterilizing and storage.

Claims (7)

1. an operation bracket that reaches the fracture of tibia closed reduction is characterized in that: by underframe (17), front rack (16), tail-bracket (18), is jointly formed one can activity the triangle operation bracket.
2. fracture of tibia closed reduction operation bracket according to claim 1, it is characterized in that: underframe (17) is rectangle, and by the rectangular tube with draw-in groove (8) (9), with underframe stationary pipes (7), is fixedly connected with formation.
3. fracture of tibia closed reduction operation bracket according to claim 1, it is characterized in that: the upper and lower both sides of described front rack (16), adjusting screw(rod) (5) under the front rack adjusted screw rod (2) of reverse screw tap and front rack, consist of, between screw rod, by two ends, the front rack adjusting nut (3) with corresponding screw tap is connected; The upper and lower both sides of described tail-bracket (18), be comprised of adjusting screw(rod) (10) under the tail-bracket adjusted screw rod (12) of reverse screw tap and tail-bracket, connected with the tail-bracket adjusting nut (11) of corresponding screw tap by two ends between screw rod.
4. fracture of tibia closed reduction operation bracket according to claim 1, it is characterized in that: the front rack adjusted screw rod (2) on described front rack (16) both sides and the tail-bracket adjusted screw rod (12) on tail-bracket both sides, by concentric shafts (14) and rotary fixing screw female (1), be flexibly connected, form two independently support columns, jointly form thigh fixed support (15).
5. fracture of tibia closed reduction operation bracket according to claim 1, it is characterized in that: there is tail-bracket fixed bar (13) below of described tail-bracket (18) thigh fixed support (15), described underframe (17), with respect to the other end of draw-in groove (8), is flexibly connected by underframe fixed bar (7) and the other end of tail-bracket.
6. fracture of tibia closed reduction operation bracket according to claim 1, it is characterized in that: described front rack (16) has fixing axis (6) and the draw-in groove (8) of underframe (17) to be flexibly connected with respect to the other end of thigh analog bracket (15), the top of described front rack (16) axis (6), have and front rack ankle fixed support connected vertically (19).
7. fracture of tibia closed reduction operation bracket according to claim 1, it is characterized in that: all parts of the present invention is preferably made by the material to x line highly transparent, but also can be formed by other material.
CN201210153980.XA 2012-05-17 2012-05-17 Fracture of tibia closed reduction operation bracket Expired - Fee Related CN103417274B (en)

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Application Number Priority Date Filing Date Title
CN201210153980.XA CN103417274B (en) 2012-05-17 2012-05-17 Fracture of tibia closed reduction operation bracket

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Application Number Priority Date Filing Date Title
CN201210153980.XA CN103417274B (en) 2012-05-17 2012-05-17 Fracture of tibia closed reduction operation bracket

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CN103417274B CN103417274B (en) 2015-09-30

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108392365A (en) * 2018-03-30 2018-08-14 刘涛 Fracture of lower limb resetting apparatus
CN108420517A (en) * 2018-04-23 2018-08-21 吉林大学 A kind of adjustable leg support hitch frame
CN111012468A (en) * 2019-12-31 2020-04-17 河北医科大学第三医院 An automatic traction device for femoral fracture osteosynthesis

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5025802A (en) * 1990-02-08 1991-06-25 Lincoln Mills, Inc. Surgical holding apparatus for distracting ankle
US5290220A (en) * 1992-03-16 1994-03-01 Guhl James F Non-invasive distraction system for ankle arthroscopy
US20040015114A1 (en) * 2002-07-22 2004-01-22 Hay Michael T. Tibial distraction device
CN101084848A (en) * 2006-06-07 2007-12-12 北京天智航医疗技术有限公司 Traction resetting device for treating bone fracture
CN201127659Y (en) * 2007-11-05 2008-10-08 朱炼 Tibiofibula bone fracture traction positor
CN101579269A (en) * 2009-06-12 2009-11-18 北京天智航技术有限公司 Novel orthopedics restoration device
CN202637072U (en) * 2012-05-17 2013-01-02 董文伟 Tibial fracture closed reduction surgical frame

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5025802A (en) * 1990-02-08 1991-06-25 Lincoln Mills, Inc. Surgical holding apparatus for distracting ankle
US5290220A (en) * 1992-03-16 1994-03-01 Guhl James F Non-invasive distraction system for ankle arthroscopy
US20040015114A1 (en) * 2002-07-22 2004-01-22 Hay Michael T. Tibial distraction device
CN101084848A (en) * 2006-06-07 2007-12-12 北京天智航医疗技术有限公司 Traction resetting device for treating bone fracture
CN201127659Y (en) * 2007-11-05 2008-10-08 朱炼 Tibiofibula bone fracture traction positor
CN101579269A (en) * 2009-06-12 2009-11-18 北京天智航技术有限公司 Novel orthopedics restoration device
CN202637072U (en) * 2012-05-17 2013-01-02 董文伟 Tibial fracture closed reduction surgical frame

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108392365A (en) * 2018-03-30 2018-08-14 刘涛 Fracture of lower limb resetting apparatus
CN108392365B (en) * 2018-03-30 2023-05-19 刘涛 Lower limb fracture reduction device
CN108420517A (en) * 2018-04-23 2018-08-21 吉林大学 A kind of adjustable leg support hitch frame
CN111012468A (en) * 2019-12-31 2020-04-17 河北医科大学第三医院 An automatic traction device for femoral fracture osteosynthesis

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