CN113017963A - Fixing device for orthopedic reduction - Google Patents

Fixing device for orthopedic reduction Download PDF

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Publication number
CN113017963A
CN113017963A CN202110192470.2A CN202110192470A CN113017963A CN 113017963 A CN113017963 A CN 113017963A CN 202110192470 A CN202110192470 A CN 202110192470A CN 113017963 A CN113017963 A CN 113017963A
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Prior art keywords
sliding
fixing
locking
forearm
fixed
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CN202110192470.2A
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CN113017963B (en
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杨益民
张波波
黎巧玲
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First Affiliated Hospital of Xian Jiaotong University
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First Affiliated Hospital of Xian Jiaotong University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
    • A61F5/04Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
    • A61F5/042Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for extension or stretching

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  • Health & Medical Sciences (AREA)
  • Nursing (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

The invention discloses a fixing device for orthopedic reduction, which comprises a base plate, a folding top fixing structure and a traction structure, wherein the folding top fixing structure is rotatably arranged on the base plate, the traction structure is arranged above the base plate, the folding top fixing structure comprises a front arm supporting structure, a hand fixing component and a folding top rotating structure, the front arm supporting structure is rotatably connected above the base plate, the folding top rotating structure comprises a sliding frame and a rotating frame which are rotatably connected with each other, the rotating frame is fixedly connected with the hand fixing component, the sliding frame is slidably connected with a front guide component, a sliding locking structure which is fixedly locked with the front guide component is arranged on the sliding frame, the rotating frame is fixedly locked with the sliding frame through the rotating locking structure, and the hand fixing component is detachably and fixedly connected with a sliding end part. The invention realizes the relative fixation of the hand and the forearm after the top is folded in a rotating way, and solves the problems that the reset state after the top is folded must be kept manually in the prior art, more medical personnel are needed, and the influence of human errors is easy.

Description

Fixing device for orthopedic reduction
Technical Field
The invention belongs to medical instruments and relates to a fixing device for orthopedic reduction.
Background
The forearm fracture is a common fracture in orthopedics, and the treatment methods of the fracture mainly comprise manual reduction plaster external fixation, incision reduction internal fixation, stent external fixation and the like, and the treatment method is determined according to specific injury conditions. The plaster external fixation is the most classical and basic treatment method in orthopedics department, has small wound and low cost, does not need secondary operation to take out internal objects, and is used under the condition of most mild fracture or temporary fixation before operation. However, in practice, this technique is greatly influenced by human factors, and the effect of reduction depends on the skill, skill and experience of the operator and the cooperation of the assistant. Furthermore, depending on the specific situation of the fracture, the wrist portion may be bent inward by the rotating vertex method as shown in fig. 10, some may be stretched after stretching and traction, and some may be stretched as shown in fig. 9, some may be stretched before rotation vertex is restored, and the wrist portion may be fixed by plaster after reduction by the above-mentioned method, so that the reduction and fixation may be performed by more than 2 doctors at the same time, while the part for stretching and restoring may be subjected to long-term counter traction, and if the wrist portion is restored by rotating vertex, the posture may be maintained to prevent deformation, so that the fracture part may be displaced before the plaster is solidified after reduction.
Although some reduction fixing devices for assisting traction can be used for traction and fixation of fracture parts, the devices are not suitable for the condition that a turning vertex method is needed, so that the prior art needs to be further improved to solve the problems that the turning vertex method is used for assisting in rotating and fixing the fracture of the distal radius end and the fracture displacement is prevented in the reduction process and the plaster curing process.
Disclosure of Invention
The invention aims to provide a fixing device for orthopedic reduction, which solves the technical problems that in the prior art, when the fracture of the far end of the radius is reduced by a rotary top-folding method, the wrist can be kept in a folded posture only through manual shaping, and the fractured part can be displaced due to human errors after top-folding or wrist traction and top-folding.
The fixing device for orthopedic reduction comprises a bottom plate, a fracture top fixing structure which is rotatably arranged on the bottom plate and a traction structure which is arranged above the bottom plate, the folding top fixing structure comprises a forearm supporting structure for fixing a forearm, a hand fixing component for fixing a hand and a folding top rotating structure, the forearm supporting structure is rotatably connected above the bottom plate, the folding top rotating structure comprises a sliding frame and a rotating frame which are mutually and rotatably connected, the rotating frame is fixedly connected with the hand fixing component, the sliding frame is connected with the front guide component on the front arm supporting structure in a sliding way and can slide along the front and back directions of the front arm, the sliding frame is provided with a sliding locking structure which is fixedly locked with the front guide assembly, the rotating frame is fixedly locked with the sliding frame through the rotating locking structure, and the hand fixing assembly is detachably and fixedly connected with the sliding end part of the traction structure.
Preferably, the front guide assembly comprises guide rails arranged in a bilateral symmetry mode, the direction of the guide rails is the same as the front and rear directions of the front arm after fixing, the lower end of the guide rails is rotatably connected with the bottom plate, guide grooves arranged in the same direction are formed in the guide rails, and the sliding frame comprises a groove-shaped sliding portion which is connected to the outer side of the guide rails in a sliding mode.
The sliding locking structure of the front guide assembly comprises a screw rod fixed on the groove-shaped sliding portion and a locking nut in threaded connection with the screw rod, the screw rod penetrates through the guide groove and can slide along the guide groove, and the locking nut and the groove-shaped sliding portion clamp the guide rail from two sides after being screwed down.
Anterior direction subassembly removes the carriage still include with the integrative extension that links to each other of flute profile sliding part, the rotating turret includes diaphragm and a pair of L type side extension board, L type side extension board one end perpendicular to the forearm stretches out to the disease of treating to reset and forms the rotation link, and other end vertical fixation is in the diaphragm both ends, rotate the link with the extension rotates through the wrist pivot and connects, the wrist pivot is located the wrist position of disease.
The wrist rotating shaft of the front guide assembly is vertically and fixedly connected with the rotating connecting end, the rotating locking structure comprises a locking shell fixed on the extending part, a locking screw, a fixed bearing bush and a locking bearing bush, a screw rod part of the locking screw comprises an upper cylindrical section and a lower threaded section with larger diameters, the fixed bearing bush is fixed at the lower part in the locking shell, one end of the locking bearing bush is hinged in the locking shell, the other end of the locking bearing bush is penetrated through by the lower threaded section, the lower end of the lower threaded section is in threaded connection with the end part of the fixed bearing bush, the bottom end of the upper cylindrical section is abutted against the end part of the locking bearing bush, the head part of the locking screw is exposed above the locking shell, and the locking bearing bush and the fixed bearing bush clamp the wrist rotating shaft from two sides under the extrusion of.
The front guide assembly and the hand fixing assembly comprise an L-shaped fixing plate with an L-shaped cross section, a half sole fixing plate and a finger stall, the horizontal part of the L-shaped fixing plate is fixed on the transverse plate, the vertical part of the L-shaped fixing plate is located on one side, facing a patient, of the transverse plate and is used for fixing the half sole fixing plate, and the finger stall is fixed on the upper portion, facing one side of the patient, of the half sole fixing plate.
Anterior direction subassembly L type fixed plate with the slip end part links to each other through dismantling coupling assembling, can dismantle coupling assembling includes the vertical fixation and is in the spliced pole at L type fixed plate top, the T type connecting rod that lower extreme center is connected with the screw rod and the clamping piece that sets up in pairs, a pair of clamping piece is fixed respectively the spliced pole with the tip that T type connecting rod is relative each other, the screw rod with a screw hole threaded connection at spliced pole center, the slip end part is equipped with to keeping away from patient direction open-ended spread groove, the screw rod is followed the opening of spread groove is inserted, the clamping piece is in press from both sides tightly or loosen from both sides when T type connecting rod is rotatory L type fixed plate.
Anterior direction subassembly the bottom plate quilt it divide into upper arm fixed part and forearm supporting part to roll over a fixed knot structure, be equipped with the upper arm band on the upper arm fixed part, forearm supporting structure supports when rolling over a reset to the palm forearm supporting part, forearm supporting structure includes that the left and right sides is fixed forearm fixed plate on the guide rail, forearm fixed plate keeps away from patient one side and is fixed with the supporting component and the opposite side is equipped with the forearm band.
Anterior direction subassembly bottom plate middle part vertical fixation has a door type mount, the guide rail lower extreme pass through the elbow pivot with the curb plate lower extreme of door type mount rotates to be connected, the elbow pivot is located patient elbow position, finger height when the roof of door type mount is higher than patient's straight forearm, set up on the roof pull the structure.
Anterior direction subassembly the traction structure includes T type handle, upper bracket, threaded connection pole, slip end spare and guide structure, slip end spare both ends are passed through guide structure with curb plate upper portion sliding connection on vertical direction, threaded connection pole's lower extreme passes the roof with slip end spare fixed connection, the lower extreme butt of T type handle is in the upper bracket top is equipped with screw hole two at terminal surface center down, threaded connection pole's upper end is equipped with the screw thread and passes the upper bracket with two threaded connection in screw hole.
The invention has the technical effects that: 1. this technical scheme has set up the structure of fixing the forearm respectively and the structure of fixing with hand half-sole part to the two is connected through the book top rotating-structure that can be locked, and when reaching suitable book top position folding the top in-process, will fold a top rotating-structure locking fixed and realize the relative fixed of hand and forearm position after the rotatory book top through this fixing device promptly.
2. The structure that simultaneously rolls over a rotating-structure and pass through anterior guide assembly and fixed forearm can the relative slip for this device can not only adapt to the great patient of arm length difference, can also be applied to the patient that will stretch earlier before rotatory book top and pull the reduction, and through the fixed position of confirming the wrist pivot of locking to the carriage, and maintain and pull the effort, prevent that the patient from taking place the problem that the fracture part shifted when resetting to the gypsum solidification in-process.
3. This scheme passes through fixing device and keeps each part of arm fixed, has liberated medical personnel's both hands, has both reduced the needs that maintain the gesture to medical personnel, avoids the artificial error that probably produces in the artificial gesture process of maintaining, has also reduced and has reset the demand to medical personnel quantity to the gypsum solidification stage.
Drawings
Fig. 1 is a schematic structural view of a fixing device for orthopedic reduction according to the present invention.
Fig. 2 is an enlarged view of region a of the structure shown in fig. 1.
Fig. 3 is a schematic structural diagram of the structure shown in fig. 1 during the rotating-bending roof-method resetting.
Fig. 4 is a top view of the structure shown in fig. 3.
Fig. 5 is a schematic structural view of a rotary lock structure in the structure shown in fig. 1.
Fig. 6 is a front view of the structure shown in fig. 1.
Fig. 7 is a cross-sectional view taken in the direction a-a of the structure shown in fig. 6.
Fig. 8 is a cross-sectional view of the removable connection assembly of the configuration of fig. 1.
Fig. 9 is a schematic diagram of the prior art when the back extension of the wrist joint is reduced by stretching and pulling the fracture part.
Fig. 10 is a schematic diagram of the rotation and rotation of the fracture site to reposition the wrist joint in palm flexion in the prior art.
The labels in the figures are: 1. a base plate, 11, an upper arm strap, 12, a forearm support part, 13, an upper arm fixing part, 2, a forearm support structure, 21, a guide rail, 22, a forearm fixing plate, 23, a forearm strap, 24, a support part, 3, a folding top rotating structure, 31, a rotating frame, 311, an L-shaped side support plate, 312, a transverse plate, 32, a sliding frame, 33, a rotating locking structure, 331, a locking shell, 332, an upper cylindrical section, 333, a lower thread section, 334, a fixed bearing bush, 335, a locking bearing bush, 34, a locking nut, 35, a wrist rotating shaft, 4, a hand fixing component, 41, an L-shaped fixing plate, 42, a forefoot fixing plate, 43, a finger stall, 5, a detachable connecting component, 51, a connecting column, 52, a T-shaped connecting rod, 53, a clamping piece, 54, a connecting screw rod, 6, a traction structure, 61, an upper support, 62, a T-shaped handle, 63, a threaded, 65. guide structure, 7, door type mount, 71, curb plate, 72, roof, 73, elbow pivot.
Detailed Description
The following detailed description of the embodiments of the present invention will be given in order to provide those skilled in the art with a more complete, accurate and thorough understanding of the inventive concept and technical solutions of the present invention.
As shown in fig. 1-8, the present invention provides a fixing device for orthopedic reposition, which comprises a base plate 1, a folding top fixing structure rotatably installed in the middle of the base plate 1, and a traction structure 6 disposed above the base plate 1, wherein the folding top fixing structure comprises a forearm supporting structure 2 for fixing a forearm, a hand fixing component 4 for fixing a hand, and a folding top rotating structure 3, the forearm supporting structure 2 is rotatably connected above the base plate 1, the folding top rotating structure 3 comprises a sliding frame 32 and a rotating frame 31 which are rotatably connected with each other, the rotating frame 31 is fixedly connected with the hand fixing component 4, the sliding frame 32 is slidably connected with a front guiding component on the forearm supporting structure 2 and can slide along the front-back direction of the forearm, a sliding locking structure which is fixedly locked with the front guiding component is disposed on the sliding frame 32, the rotating frame 31 is fixedly locked with the sliding frame 32 by a rotating locking structure 33, the hand fixing component 4 is detachably and fixedly connected with the sliding end part 64 of the traction structure 6.
The front guide assembly comprises guide rails 21 which are symmetrically arranged left and right, the direction of the guide rails 21 is the same as the front and rear directions of the front arm after being fixed, the lower end of the guide rails 21 is rotatably connected with the bottom plate 1, guide grooves which are arranged in the same direction are formed in the guide rails 21, and the sliding frame 32 comprises a sliding connection and a groove-shaped sliding part which is arranged on the outer side of the guide rails 21.
The sliding locking structure comprises a sliding screw fixed on the groove-shaped sliding part and a locking nut 34 in threaded connection with the sliding screw, the sliding screw penetrates through the guide groove and can slide along the guide groove, and the locking nut 34 and the groove-shaped sliding part clamp the guide rail 21 from two sides after being screwed down.
Carriage 32 still include with the integrative portion of stretching out that links to each other of flute profile sliding part, rotating turret 31 includes diaphragm 312 and a pair of L type collateral branch board 311, L type collateral branch board 311 one end perpendicular to the forearm stretches out to the disease of treating to reset and forms the rotation link, and other end vertical fixation in diaphragm 312 both ends, rotate the link with the portion of stretching out rotates through wrist pivot 35 and connects, wrist pivot 35 is located the wrist position of disease.
L type collateral branch board 311 is located the guide rail 21 outside, has great space between guide rail 21 and the hand and the wrist after fixing to make things convenient for the doctor to contact with wrist or hand, grip, thereby for subsequent book end process and beat the sufficient space of gypsum process outflow and operate.
The wrist rotating shaft 35 is vertically and fixedly connected with the rotating connecting end, the rotating locking structure 33 comprises a locking housing 331 fixed on the extending part, a locking screw, a fixed bearing bush 334 and a locking bearing bush 335, the shank portion of the locking screw includes an upper cylindrical section 332 and a lower threaded section 333 of relatively large diameter, the fixed bearing bush 334 is fixed to the lower portion of the locking housing 331, one end of the locking bearing bush 335 is hinged to the locking housing 331, and the other end is penetrated by the lower thread section 333, the lower end of the lower thread section 333 is in threaded connection with the end part of the fixed bearing bush 334, the bottom end of the upper cylindrical section 332 abuts against the end of the locking bush 335, the head of the locking screw is exposed above the locking housing 331, the locking bearing bush 335 clamps the wrist rotary shaft 35 with the fixed bearing bush 334 from both sides under the compression of the locking screw.
The hand fixing assembly 4 comprises an L-shaped fixing plate 41 with an L-shaped cross section, a half sole fixing plate 42 and finger sleeves 43, wherein the horizontal part of the L-shaped fixing plate 41 is fixed on the transverse plate 312, the vertical part of the L-shaped fixing plate 41 is positioned on the side, facing the patient, of the transverse plate 312 and is used for fixing the half sole fixing plate 42, and the finger sleeves 43 are fixed on the upper part of the side, facing the patient, of the half sole fixing plate 42.
L type fixed plate 41 with sliding end part 64 links to each other through dismantling coupling assembling 5, can dismantle coupling assembling 5 including the vertical fixation in spliced pole 51 at L type fixed plate 41 top, the T type connecting rod 52 that lower extreme center is connected with connecting screw 54 and the clamping piece 53 that sets up in pairs, a pair of clamping piece 53 is fixed respectively spliced pole 51 with the tip that T type connecting rod 52 is relative each other, connecting screw 54 with a screw hole threaded connection at spliced pole 51 center, sliding end part 64 is equipped with to keeping away from patient direction open-ended connecting groove, connecting screw 54 follows the opening of connecting groove inserts, clamping piece 53 is in it presss from both sides tightly or loosens from both sides when T type connecting rod 52 rotates L type fixed plate 41.
Bottom plate 1 quilt it divide into upper arm fixed part 13 and forearm supporting part 12 to roll over a fixed knot to construct, be equipped with upper arm band 11 on the upper arm fixed part 13, forearm supporting structure 2 supports when rolling over a reset to the palm forearm supporting part 12, forearm supporting structure 2 includes that the left and right sides is fixed forearm fixed plate 22 on the guide rail 21, forearm fixed plate 22 keeps away from patient one side and is fixed with supporting component 24 and the opposite side is equipped with forearm band 23.
Bottom plate 1 middle part vertical fixation has door type mount 7, the guide rail 21 lower extreme pass through elbow pivot 73 with the curb plate 71 lower extreme of door type mount 7 rotates to be connected, elbow pivot 73 is located patient's elbow position, the roof 72 of door type mount 7 is higher than the finger height when the patient stands straight the forearm, set up on the roof 72 pull structure 6.
Draw structure 6 to include T type handle 62, upper bracket 61, threaded connection pole 63, slip end part 64 and guide structure 65, slip end part 64 both ends are passed through guide structure 65 with curb plate 71 upper portion is sliding connection in vertical direction, threaded connection pole 63's lower extreme is passed roof 72 with slip end part 64 fixed connection, T type handle 62's lower extreme butt is in the upper bracket 61 top is equipped with screw hole two at terminal surface center down, threaded connection pole 63's upper end is equipped with the screw thread and passes upper bracket 61 with screw hole two threaded connection.
Before the scheme is used, the front sole fixing plate 42 is parallel to the front arm fixing plate 22, and the rotating locking structure 33 and the sliding locking structure are in a locking state. If the fixing device is used without traction, but only needs to be reset and fixed by a rotating and turning top method, the arm of a patient is firstly placed on the fixing device, the elbow is positioned at the position of the elbow rotating shaft 73, and the upper arm is fixed on the upper arm fixing part 13 through the upper arm strap 11. The forearm is lowered forward and secured to the forearm attachment plate 22 by means of a forearm strap 23, with the support part 24 of the forearm support arrangement 2 resting on the forearm support 12.
And then the sliding locking structure is loosened to adjust the position of the sliding frame 32 until the half sole fixing plate 42 reaches the half sole position of the hand of the patient, the half sole of the patient is placed on the half sole fixing plate 42 and is connected with the fingers of at least two patients through the finger sleeves 43, the wrist rotating shaft 35 is positioned at the wrist position of the patient, and then the locking nut 34 is rotated to clamp the sliding rail to realize the locking of the sliding locking structure. Because the length difference range of the palms between people is smaller than that of the forearms, the distance between the wrist rotating shaft 35 and the palm fixing plate is relatively fixed and is relatively close to the wrist position of the patient, and the defect that the rotating track of the rotating wrist and the forearms fixing plate 42 is greatly staggered due to the fact that the distance between the rotating shaft and the wrist is large during rotation is avoided. In the case of the folding top reset after the traction reset, the wrist rotation shaft 35 needs to be determined according to the position after the traction, and therefore should slide relative to the guide rail 21 before the determination of the position, and be locked and positioned at the hand position after the traction.
The rotating locking structure 33 is loosened, the rotating frame 31 can rotate around the wrist rotating shaft 35, at the moment, a doctor rotates the wrist of a patient by a professional method, the top folding resetting process is completed, the wrist is temporarily fixed at the top folding rear position by one hand, meanwhile, the locking screws of the rotating locking structures 33 on the left side and the right side are sequentially screwed by the other hand, the locking screws drive the locking bearing bushes 335 to press the fixing bearing bushes 334, the locking bearing bushes 335 and the fixing bearing bushes 334 clamp the wrist rotating shaft 35 relatively, the locking of the rotating locking structure 33 is realized, and the wrist of the patient can be kept at the top folding resetting position. Then, the wrist and the surrounding portion in this state are plastered, and the fixed posture is maintained until the plaster is set.
Obviously, the above process enables a doctor to keep the wrist in the folded posture by one hand and conveniently realize the relative fixation of the rotating frame 31 and the sliding frame 32 after rotation by the other hand, so that at least one doctor does not need to maintain the folded posture of the wrist of a patient during subsequent plaster application, the posture of the wrist part of the doctor in the folded posture is conveniently maintained, and the problem that the wrist moves in the plaster application and plaster curing process to cause the displacement of the bone or ligament at the fracture part is avoided.
If the fixing device needs to stretch and draw the fracture part of the wrist before use, the folding top fixing structure is firstly rotated to enable the guide rail 21 to be upright, the connecting screw rod 54 of the detachable connecting component 5 is inserted into the connecting groove, and then the T-shaped connecting rod 52 is screwed down to enable the sliding end part 64 to be fixedly connected with the hand fixing component 4. The patient's upper arm and forearm is then secured to the upper arm securing portion 13 and forearm fixing plate 22, respectively, as previously described, the slider locking arrangement is released and the slider end member 64 is then adjusted until the patient's forefoot can be fixedly attached to the forefoot fixing plate 42. After the parts of the arm are fixed, the upper end of the threaded connecting rod 63 with threads extends out of the top of the upper support 61, the lower end of the T-shaped handle 62 is connected with the upper end of the threaded connecting rod 63 at the moment, the lower end of the T-shaped handle 62 abuts against the top of the upper support 61 and then the T-shaped handle 62 continues to rotate, the hand of a patient can be further pulled upwards through the threaded connecting rod 63, and the pulling and resetting effects of the wrist parts are achieved. And after traction reduction is finished, the sliding locking structure is locked in a traction state, so that the traction state of the hand fixing component 4 on the fracture part of the wrist can be kept, and displacement is avoided. Then the T-shaped connecting rod 52 is rotated to enable the clamping piece 53 to be relatively far away from the loose sliding end part 64, when the distance between the clamping pieces 53 reaches a certain distance, the whole folding top fixing structure can be rotated to enable the connecting screw rod 54 to be separated from the opening of the connecting groove, the connecting screw rod is converted into a state that the forearm is supported by the forearm supporting structure 2 after being put down, then the folding top fixing structure is operated according to the method to realize the folding top and the folding top gesture keeping of the wrist part, and finally the process of plaster fixation is finished.
In the method, the stretching traction is reset, the forearm is pulled under an upright posture, and the purpose is to ensure that the direction of the forearm under the action of gravity is parallel to the direction of the traction action, so that the influence of the action force of other directions on the arm on the traction effect during traction is reduced. And roll over the wrist and roll over when pushing up owing to roll over the top and be rotary motion, needn't consider the influence of gravity, roll over the back in addition and will make things convenient for the operation to rotate locking structure 33 and reserve sufficient space for the process of later playing the gypsum to it prevents the swing to make things convenient for the bearing forearm, so this scheme lets roll over a fixed knot and construct and can rotate the slope or the gesture of keeping flat, lets anterior bearing structure support the forearm, keeps forearm position stability, also makes things convenient for follow-up to reset and play the gypsum.
The invention is described above with reference to the accompanying drawings, it is obvious that the specific implementation of the invention is not limited by the above-mentioned manner, and it is within the scope of the invention to adopt various insubstantial modifications of the inventive concept and solution of the invention, or to apply the inventive concept and solution directly to other applications without modification.

Claims (10)

1.一种骨科复位用的固定装置,其特征在于:包括底板(1)、可转动安装在所述底板(1)上的折顶固定结构和设置在所述底板(1)上方的牵引结构(6),所述折顶固定结构包括固定前臂的前臂支撑结构(2)、固定手部的手部固定组件(4)和折顶转动结构(3),前臂支撑结构(2)转动连接在所述底板(1)上方,所述折顶转动结构(3)包括彼此转动相连的滑动架(32)和转动架(31),所述转动架(31)与所述手部固定组件(4)固定连接,所述滑动架(32)与所述前臂支撑结构(2)上的前部导向组件滑动连接能沿前臂的前后方向滑动,所述滑动架(32)上设有与所述前部导向组件锁紧固定的滑动锁紧结构,所述转动架(31)与所述滑动架(32)之间通过转动锁紧结构(33)锁紧固定,所述手部固定组件(4)与所述牵引结构(6)的滑动端部件(64)可拆卸固定连接。1. A fixation device for orthopaedic reduction, characterized in that it comprises a bottom plate (1), a top-folding fixing structure rotatably mounted on the bottom plate (1), and a traction structure arranged above the bottom plate (1) (6), the folding top fixing structure includes a forearm support structure (2) for fixing the forearm, a hand fixing assembly (4) for fixing the hand, and a folding top rotating structure (3), and the forearm supporting structure (2) is rotatably connected to the forearm support structure (2). Above the bottom plate (1), the folding top rotating structure (3) includes a sliding frame (32) and a rotating frame (31) that are rotatably connected to each other, and the rotating frame (31) is connected to the hand fixing assembly (4). ) is fixedly connected, the sliding frame (32) is slidably connected to the front guide assembly on the forearm support structure (2) and can slide along the front and rear directions of the forearm, and the sliding frame (32) is provided with a A sliding locking structure in which the guide assembly is locked and fixed, the rotating frame (31) and the sliding frame (32) are locked and fixed by a rotating locking structure (33), and the hand fixing assembly (4) It is detachably and fixedly connected with the sliding end part (64) of the traction structure (6). 2.根据权利要求1所述的一种骨科复位用的固定装置,其特征在于:所述前部导向组件包括左右对称设置的导轨(21),所述导轨(21)的方向与固定后的前臂前后方向相同,所述导轨(21)下端与所述底板(1)转动连接,所述导轨(21)上设有同向设置的导槽,所述滑动架(32)包括滑动连接在所述导轨(21)外侧的槽形滑动部。2 . The fixation device for orthopaedic reduction according to claim 1 , wherein the front guide assembly comprises guide rails ( 21 ) symmetrically arranged left and right, and the direction of the guide rails ( 21 ) is the same as that of the fixed guide rails ( 21 ). 3 . The front and rear directions of the forearm are the same, the lower end of the guide rail (21) is rotatably connected with the bottom plate (1), the guide rail (21) is provided with guide grooves arranged in the same direction, and the sliding frame (32) includes a sliding connection on the bottom plate (1). The groove-shaped sliding part on the outer side of the guide rail (21). 3.根据权利要求2所述的一种骨科复位用的固定装置,其特征在于:所述滑动锁紧结构包括固定在所述槽形滑动部上的滑动螺杆、螺纹连接在所述滑动螺杆上的锁紧螺母(34),所述滑动螺杆穿过所述导槽并能沿所述导槽滑动,所述锁紧螺母(34)拧紧后与所述槽形滑动部从两侧夹紧所述导轨(21)。3 . The fixation device for orthopaedic reduction according to claim 2 , wherein the sliding locking structure comprises a sliding screw fixed on the groove-shaped sliding portion, and a screw is threaded on the sliding screw. 4 . The lock nut (34), the sliding screw rod passes through the guide groove and can slide along the guide groove, the lock nut (34) is tightened and the groove-shaped sliding part is clamped from both sides. the guide rail (21). 4.根据权利要求2所述的一种骨科复位用的固定装置,其特征在于:所述滑动架(32)还包括与所述槽形滑动部一体相连的伸出部,所述转动架(31)包括横板(312)和一对L型侧支板(311),所述L型侧支板(311)一端垂直于所述前臂并向待复位的病患伸出形成转动连接端,而另一端垂直固定在所述横板(312)两端,所述转动连接端与所述伸出部通过腕部转轴(35)转动连接,所述腕部转轴(35)位于所述病患的腕部位置。The fixation device for orthopaedic reduction according to claim 2, characterized in that: the sliding frame (32) further comprises a protruding part integrally connected with the groove-shaped sliding part, and the rotating frame (32) 31) comprising a transverse plate (312) and a pair of L-shaped side support plates (311), one end of the L-shaped side support plates (311) is perpendicular to the forearm and protrudes out of the patient to be reset to form a rotating connection end, The other end is vertically fixed on both ends of the horizontal plate (312), and the rotating connecting end and the extending part are rotatably connected through a wrist rotating shaft (35), and the wrist rotating shaft (35) is located in the patient wrist position. 5.根据权利要求4所述的一种骨科复位用的固定装置,其特征在于:所述腕部转轴(35)与所述转动连接端垂直固定连接,所述转动锁紧结构(33)包括固定在所述伸出部的锁紧壳体(331)、锁紧螺钉、固定轴瓦(334)和锁紧轴瓦(335),所述锁紧螺钉的钉杆部分包括直径较大的上圆柱段(332)和下螺纹段(333),所述固定轴瓦(334)固定在所述锁紧壳体(331)内的下部,所述锁紧轴瓦(335)一端铰接在所述锁紧壳体(331)内,而另一端被所述下螺纹段(333)穿过,所述下螺纹段(333)的下端与所述固定轴瓦(334)的端部螺纹连接,所述上圆柱段(332)的底端抵接在所述锁紧轴瓦(335)的端部,所述锁紧螺钉的头部露在所述锁紧壳体(331)上方,所述锁紧轴瓦(335)在所述锁紧螺钉的挤压下与所述固定轴瓦(334)从两侧夹紧所述腕部转轴(35)。5 . The fixation device for orthopaedic reduction according to claim 4 , wherein the wrist shaft ( 35 ) is vertically and fixedly connected to the rotation connection end, and the rotation locking structure ( 33 ) comprises: 6 . A locking shell (331), a locking screw, a fixed bearing bush (334) and a locking bearing bush (335) fixed on the protruding part, the shank part of the locking screw includes an upper cylindrical section with a larger diameter (332) and a lower thread segment (333), the fixed bearing bush (334) is fixed in the lower part of the locking housing (331), and one end of the locking bearing bush (335) is hinged to the locking housing ( 331 ), and the other end is passed through by the lower thread segment ( 333 ), the lower end of the lower thread segment ( 333 ) is threadedly connected with the end of the fixed bearing bush ( 334 ), and the upper cylindrical segment ( The bottom end of 332) abuts on the end of the locking bush (335), the head of the locking screw is exposed above the locking housing (331), and the locking bush (335) is on the top of the locking shell (335). Under the pressing of the locking screw, the wrist shaft (35) is clamped with the fixed bearing bush (334) from both sides. 6.根据权利要求5所述的一种骨科复位用的固定装置,其特征在于:所述手部固定组件(4)包括截面为L型的L型固定板(41)、前掌固定板(42)和指套(43),所述L型固定板(41)的水平部分固定在所述横板(312)上,所述L型固定板(41)的竖直部分位于所述横板(312)朝向患者一侧并固定所述前掌固定板(42),所述指套(43)固定在所述前掌固定板(42)朝向患者一侧的上部。The fixation device for orthopaedic reduction according to claim 5, characterized in that: the hand fixation assembly (4) comprises an L-shaped fixation plate (41) with an L-shaped cross-section, a forefoot fixation plate (41) 42) and a finger cover (43), the horizontal part of the L-shaped fixing plate (41) is fixed on the transverse plate (312), and the vertical part of the L-shaped fixing plate (41) is located on the transverse plate (312) Facing the patient side and fixing the forefoot fixing plate (42), the finger cover (43) is fixed on the upper part of the forefoot fixing plate (42) facing the patient. 7.根据权利要求6所述的一种骨科复位用的固定装置,其特征在于:所述L型固定板(41)与所述滑动端部件(64)通过可拆卸连接组件(5)相连,所述可拆卸连接组件(5)包括垂直固定在所述L型固定板(41)顶部的连接柱(51)、下端中心连接有连接螺杆(54)的T型连接杆(52)和成对设置的夹紧件(53),一对夹紧件(53)分别固定在所述连接柱(51)和所述T型连接杆(52)彼此相对的端部,所述连接螺杆(54)与所述连接柱(51)中心的螺纹孔一螺纹连接,所述滑动端部件(64)设有向远离患者方向开口的连接槽,所述连接螺杆(54)从所述连接槽的开口插入,所述夹紧件(53)在所述T型连接杆(52)旋转时从两侧夹紧或松开所述L型固定板(41)。7. The fixation device for orthopaedic reduction according to claim 6, characterized in that: the L-shaped fixing plate (41) is connected with the sliding end member (64) through a detachable connecting assembly (5), The detachable connecting assembly (5) includes a connecting column (51) vertically fixed on the top of the L-shaped fixing plate (41), a T-shaped connecting rod (52) connected with a connecting screw (54) at the center of the lower end, and a pair of The provided clamping members (53), a pair of clamping members (53) are respectively fixed on the ends of the connecting column (51) and the T-shaped connecting rod (52) that are opposite to each other, and the connecting screw (54) It is threadedly connected with the threaded hole in the center of the connecting column (51), the sliding end member (64) is provided with a connecting groove that opens away from the patient, and the connecting screw (54) is inserted from the opening of the connecting groove. , the clamping piece (53) clamps or loosens the L-shaped fixing plate (41) from both sides when the T-shaped connecting rod (52) rotates. 8.根据权利要求2所述的一种骨科复位用的固定装置,其特征在于:所述底板(1)被所述折顶固定结构分为上臂固定部(13)和前臂支撑部(12),所述上臂固定部(13)上设有上臂束带(11),所述前臂支撑结构(2)在对手掌进行折顶复位时支撑在所述前臂支撑部(12),所述前臂支撑结构(2)包括左右两侧固定在所述导轨(21)上的前臂固定板(22),所述前臂固定板(22)远离患者一侧固定有支撑部件(24)而另一侧设有前臂束带(23)。8 . The fixation device for orthopaedic reduction according to claim 2 , wherein the bottom plate ( 1 ) is divided into an upper arm fixing portion ( 13 ) and a forearm support portion ( 12 ) by the folding top fixing structure. 9 . , the upper arm fixing portion (13) is provided with an upper arm strap (11), the forearm support structure (2) is supported on the forearm support portion (12) when the palm is folded and reset, and the forearm supports The structure (2) includes a forearm fixing plate (22) fixed on the guide rails (21) on the left and right sides, a support member (24) is fixed on the side of the forearm fixing plate (22) away from the patient, and a supporting member (24) is fixed on the other side. Forearm Girdle (23). 9.根据权利要求2所述的一种骨科复位用的固定装置,其特征在于:所述底板(1)中部垂直固定有门型固定架(7),所述导轨(21)下端通过肘部转轴(73)与所述门型固定架(7)的侧板(71)下端转动连接,所述肘部转轴(73)位于患者肘部位置,所述门型固定架(7)的顶板(72)高于患者立直前臂时的手指高度,所述顶板(72)上设置所述牵引结构(6)。9 . The fixation device for orthopaedic reduction according to claim 2 , characterized in that a portal-type fixing frame ( 7 ) is vertically fixed in the middle of the bottom plate ( 1 ), and the lower end of the guide rail ( 21 ) passes through the elbow. 10 . The rotating shaft (73) is rotatably connected with the lower end of the side plate (71) of the portal-type fixing frame (7), the elbow rotating shaft (73) is located at the position of the patient's elbow, and the top plate ( 72) The height of the fingers when the patient stands upright on the forearm, the traction structure (6) is arranged on the top plate (72). 10.根据权利要求9所述的一种骨科复位用的固定装置,其特征在于:所述牵引结构(6)包括T型把手(62)、上支架(61)、螺纹连接杆(63),所述滑动端部件(64)和导向结构(65),所述滑动端部件(64)两端通过所述导向结构(65)与所述侧板(71)上部在竖直方向上滑动连接,所述螺纹连接杆(63)的下端穿过所述顶板(72)与所述滑动端部件(64)固定连接,所述T型把手(62)的下端抵接在所述上支架(61)顶部并在下端面中心设有螺纹孔二,所述螺纹连接杆(63)的上端设有螺纹并穿过所述上支架(61)与所述螺纹孔二螺纹连接。The fixation device for orthopaedic reduction according to claim 9, wherein the traction structure (6) comprises a T-shaped handle (62), an upper bracket (61), and a threaded connecting rod (63), the sliding end member (64) and the guide structure (65), both ends of the sliding end member (64) are slidably connected to the upper part of the side plate (71) in a vertical direction through the guide structure (65), The lower end of the threaded connecting rod (63) is fixedly connected to the sliding end member (64) through the top plate (72), and the lower end of the T-shaped handle (62) abuts against the upper bracket (61) The top and the center of the lower end face are provided with a second threaded hole, and the upper end of the threaded connecting rod (63) is provided with a thread and is threadedly connected to the second threaded hole through the upper bracket (61).
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