CN105055005A - Mid-face three-dimensional bone tractor - Google Patents
Mid-face three-dimensional bone tractor Download PDFInfo
- Publication number
- CN105055005A CN105055005A CN201510541264.2A CN201510541264A CN105055005A CN 105055005 A CN105055005 A CN 105055005A CN 201510541264 A CN201510541264 A CN 201510541264A CN 105055005 A CN105055005 A CN 105055005A
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- CN
- China
- Prior art keywords
- support
- traction
- skull
- screw
- horizontal
- Prior art date
- 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.)
- Granted
Links
- 210000000988 bone and bone Anatomy 0.000 title claims abstract description 29
- 210000003625 skull Anatomy 0.000 claims abstract description 72
- 239000000835 fiber Substances 0.000 claims description 12
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 claims description 4
- 229910052719 titanium Inorganic materials 0.000 claims description 4
- 239000010936 titanium Substances 0.000 claims description 4
- 230000001815 facial effect Effects 0.000 abstract description 2
- 238000011084 recovery Methods 0.000 abstract 1
- 208000010392 Bone Fractures Diseases 0.000 description 5
- 206010017076 Fracture Diseases 0.000 description 5
- 238000010586 diagram Methods 0.000 description 5
- 230000002146 bilateral effect Effects 0.000 description 4
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 210000000216 zygoma Anatomy 0.000 description 2
- 208000037534 Progressive hemifacial atrophy Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000000994 depressogenic effect Effects 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 230000003203 everyday effect Effects 0.000 description 1
- 239000000284 extract Substances 0.000 description 1
- 208000002980 facial hemiatrophy Diseases 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 230000014759 maintenance of location Effects 0.000 description 1
- 238000000034 method Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors, contractors
- A61B17/64—Devices extending alongside the bones to be positioned
- A61B17/6433—Devices extending alongside the bones to be positioned specially adapted for use on body parts other than limbs, e.g. trunk or head
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B2017/564—Methods for bone or joint treatment
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Medical Informatics (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Abstract
The invention discloses a mid-face three-dimensional bone tractor. The mid-face three-dimensional bone tractor at least comprises supports, skull fixing nails, traction nails and traction wires, and further comprises a rotary sleeve part and retaining screws. The supports include a horizontal skull support, vertical traction supports and a horizontal traction support. A keyway and key connecting mechanism is arranged in the middle of the horizontal skull support, the horizontal skull support can be fixed with one or more vertical traction supports through the retaining screws according to needs, the horizontal traction support and the rotary sleeve part are fixed to the vertical traction supports through the retaining screws, and traction screw rods are connected to the vertical traction supports or the horizontal traction support or the rotary sleeve part through stressing screws. The mid-face three-dimensional bone tractor can achieve forward traction, meanwhile, three-dimensional traction at different horizontal heights and different vertical angles can be achieved, and the mid-face three-dimensional bone tractor is a light perfect medical instrument easy and convenient to adjust and is used for three-dimensional space resetting of a face fracture segment or three-dimensional traction recovery of the face fracture segment or facial contour rebuilding.
Description
Technical field:
The invention belongs to medical instruments field, relate to a kind of bone tractor, the three-dimensional bone tractor of especially a kind of Middle face.
Background technology:
Skull extenal fixation formula Middle face bone tractor (Mid-faceDistractionOsteogenesisDevices) is sometimes also referred to as extenal fixation skull tractor.The part upper jaw bone section sectioned, mainly for the not enough patient of maxillary development, after LeFort osteotomy, can only be drawn to dead ahead, to recover its normal face type by existing skull extenal fixation traction apparatus.For patient of caving in after fracture of maxillary, the bone section that can only fracture to front haulage, makes it reset.For hemifacial atrophy patient, can only by part upper jaw bone bone block to front haulage, recover front (front and back to) richness of face type to a certain extent, but the depression of side cannot solve.Therefore, there is a large amount of patients need by jawbone to while front haulage, also to side traction, to recover the richness of face, front type simultaneously.And for jawbone (comprising upper jaw bone, mandibular bone), cheekbone closure, depressed fracture patient, need too simultaneously forward, to side traction, make the jawbone of displacement fracture, cheekbone accurately resets.And single far from the meeting clinical needs to front haulage of existing extenal fixation skull tractor.
Inventor had once applied for " a kind of adjustable mid-face bone tractor ", the patent No. is the invention of CN201010113708.X., be the invention of CN201020118494.0 with the patent No., but its can only realize in face of level within the scope of 180 degree to traction, vertically can not realize to traction, and the adjustment of thick and heavy, the horizontal skull support width of overall structure is very complicated.
Summary of the invention:
The object of the invention is to the shortcoming overcoming above-mentioned prior art, there is provided a kind of Middle face three-dimensional bone tractor, add horizontally tracting support, rotate external member, make it possible to while front haulage, the 3 d traction of differentiated levels, the traction of different vertical angles can also be realized.Instead of horizontal skull support contiguous block by key way key syndeton, instead of vertical distraction support contiguous block with retaining screw, alleviate overall weight, regulate more easy.
The object of the invention is to be achieved through the following technical solutions:
The three-dimensional bone tractor of a kind of Middle face, at least comprise: support, skull staple, traction nail, traction fiber, also comprise and rotate external member and retaining screw, wherein said support comprises horizontal skull support, vertical distraction support and horizontally tracting support, by key way key anatomical connectivity in the middle of described horizontal skull support, horizontal skull support fixes one or more vertical distraction support by retaining screw as required, horizontally tracting support and rotation external member are fixed on vertical distraction support by retaining screw, traction screw is connected to vertical distraction support or horizontally tracting support by afterburning screw or rotates in external member.
Described horizontal skull support is provided with arc-shaped slide rail.
Described vertical distraction support has two kinds of specifications, a kind ofly can slide along the arc-shaped slide rail on horizontal skull support, and be fixed on the optional position of arc-shaped slide rail by retaining screw, another kind of vertical distraction support is fixed on the key of horizontal skull support.
Described vertical distraction support one side is provided with can through the square hole of traction screw, and another side is provided with side by side can through the circular hole rotating external member.
Horizontal skull support is fixed in patient's skull by described skull staple.
Described vertical distraction support, horizontally tracting support and rotation external member are connected with multiple traction screw, and facing to the point that patient's Middle face is different, fixing many pieces of traction titaniums nails, traction titanium is followed closely and is connected to different traction screw by traction fiber from face.
Described horizontally tracting support is provided with can through the square hole of traction screw.
Described rotation external member one end is provided with can through the square hole of traction screw.
Described retaining screw comprises key way key retaining screw, vertical distraction support retaining screw, rotates external member retaining screw.
Beneficial effect of the present invention:
1, horizontal skull support adopts key way key syndeton, and compared with the support contiguous block adopted before, weight, regulates easy;
2, add horizontally tracting support, conveniently carry out the traction of bilateral dead ahead;
3, add rotation external member, different angles traction can be realized.
Accompanying drawing illustrates:
Fig. 1 is horizontal skull supporting structure schematic diagram;
Fig. 2 is key way key retaining screw schematic diagram;
Fig. 3 is vertical distraction supporting structure schematic diagram;
Fig. 4 is different size vertical distraction support comparison diagram;
Fig. 5 is overall structure schematic diagram figure of the present invention;
Fig. 6 is embodiment 1 structure chart;
Fig. 7 is embodiment 2 structure chart;
Fig. 8 is embodiment 3 structure chart;
Fig. 9 is embodiment 4 structure chart;
1 is horizontal skull support (1); 2 is horizontal skull support (2); 3 is the arc-shaped slide rail (3) on horizontal skull support (1); 4 is the arc-shaped slide rail (4) on horizontal skull support (2); 5 is the key way of horizontal skull support (1) mid portion; 6 is the key of horizontal skull support (2) mid portion; 7 is key way key retaining screw; 9 is vertical distraction support; 10 is vertical distraction support retaining screw; 12 for being applicable to the vertical distraction support of the key 6 of horizontal skull support (2); 13 is traction screw; 14 for rotating the retaining screw of external member; 15 for rotating external member; 16 is horizontally tracting support; 17 is skull retention pin; 18 is the afterburning screw of traction screw; 19 is traction fiber; 20 is traction nail.
Detailed description of the invention:
Below in conjunction with accompanying drawing, the present invention is described in further detail:
As shown in Figure 1, 2, horizontal skull support (1) and horizontal skull support (2) end are respectively arranged with 5 " screw holes ", horizontal skull support (1) and horizontal skull support (2) are fixed in patient's skull by medical titanium screw 17.Horizontal skull support (1) and horizontal skull support (2) are respectively arranged with arc-shaped slide rail (3) and arc-shaped slide rail (4), arc-shaped slide rail is substantially consistent with the side, face of people, front appearance radian, arc-shaped slide rail (3) and arc-shaped slide rail (4) are totally continuous, and cover facial side, 180 degree, front scope.The mid portion of horizontal skull support (1) is provided with key way 5, and the mid portion of horizontal skull support (2) is provided with key 6.Key 6 can insert in key way 5 completely, and insert the width between the horizontal skull support (1) of degree of depth adjustment of key way 6 and (2) by adjustment key 5, adapt to the width of different patient's skull, and by key way key retaining screw 7, horizontal skull support (1) and horizontal skull support (2) can be fixed together in this position.
Described vertical distraction support has two kinds of specifications: vertical distraction support 9 and vertical distraction support 12.
As shown in Figure 3, vertical distraction support 9 can slide along the arc-shaped slide rail (3) on horizontal skull support (1) and horizontal skull support (2) and arc-shaped slide rail (4), and is fixed on a certain position by vertical distraction support retaining screw 10.This function can meet when an only needs installation vertical distraction support, the traction of diverse location within the scope of 180 degree in the presence of.
As shown in Figure 4, vertical distraction support 12: when key 6 part of horizontal skull support (2) extracts certain length out from key way 5 part of horizontal stand (1), key 6 part of horizontal skull support (2) will come out.Key 6 segment thickness because of horizontal skull support (2) is less than horizontal skull support (2), so 9, the vertical distraction support being applicable to horizontal skull support (1) and (2) is not suitable for the key 6 of horizontal skull support (2).As just needed to install vertical distraction support in this part, then vertical distraction support 9 is unavailable.For this reason, the present invention has designed and produced the vertical distraction support 12 of the key 6 being applicable to horizontal skull support (2).The bayonet socket of vertical distraction support 12 is less than vertical distraction support 9.
As shown in Figure 5, vertical distraction support 9 and vertical distraction support 12 one side are provided with the multiple square holes fitting in through traction screw 13, such one side can ensure that traction screw 13 can be put along adjusted position any on same vertical distraction support 9 or vertical distraction support 12 above-below direction, realize the face of same position differing heights in the presence of bone section level to traction.Vertical distraction support 9 and 12 another side is provided with multiple circular hole side by side, and circular hole spacing is 1-3mm, and rotation external member 15 is fixed on desired location by circular hole by the retaining screw 14 rotating external member.Rotate the lead that external member 15 can limit traction screw 13, the different angles traction of same position, vertical direction in face of can realizing like this.Horizontally tracting support 16 is arranged on vertical distraction support, and horizontally tracting support 16 is provided with the multiple square holes fitting in through traction screw 13, by installing traction screw 13 in the both sides of horizontal stand 16, can realize the dead ahead traction of bilateral.
As shown in Figure 1, 2, be the use of the wider patient of skull.As required key 6 part from key way 5 can be extracted out, to reach the demand of applicable patient's skull width.As just needed to go out to install vertical distraction support at key 6, then the vertical distraction support 12 mated with key 6 is installed.The traction of other positions and angle is with above four.
Embodiment 1: is as shown in Figure 6 the traction of one-sided dead ahead.Horizontal skull support (1) and horizontal skull support (2) are fixed on the skull of patient by the skull staple 17 of horizontal skull support both sides, horizontal skull support (1), 1 vertical distraction support 9 is installed, vertical distraction support longitudinal arrangement has a row can pass the square hole of traction screw 13, and traction screw 13 is contained in middle square hole, traction nail 20 one end is fixed on the lateral surface of upper jaw bone section on the left of patient, traction nail 20 other end by traction fiber 19 from the traction screw 13 be connected between jaw vertical distraction support 9, by the afterburning screw 18 of the traction screw that turns clockwise, traction screw 13 will affect traction fiber 19, by fracture of maxillary block on the left of patient to dead ahead traction to desired location, when the afterburning screw 18 of the traction screw that turns clockwise, traction screw 13 will affect traction fiber 19, thus traction jaw bones section is to desired location, often rotate 1 week afterburning screw 18 of traction screw, traction fiber 19 will affect bone block to move 0.5mm.General every day draws twice, each 0.5mm, the morning 1 time, afternoon 1 time.The one-sided dead ahead traction of maxillofacial bone can be realized.Because vertical distraction support 9 position is adjustable, so, can draw in the optional position of dead ahead.
Embodiment 2: as shown in Figure 7, is the traction of bilateral dead ahead, on the basis of embodiment 1,1 horizontally tracting support 12 is installed by vertical distraction support 9.By the hole of 2 traction screws 13 through suitable location on horizontally tracting support 12, by traction fiber 19, traction screw 13 is connected with traction nail 20, the afterburning screw 18 of the traction screw that turns clockwise, the bilateral dead ahead traction of maxillofacial bone can be realized.
Embodiment 3: is as shown in Figure 8 the traction angle of same position in dead ahead, side 180 scope.Rotate external member 15 and be fixed on desired position on vertical distraction support 9 by rotating external member retaining screw 14, and adjustment rotates the angle of external member 15, to meet required traction angle.Traction screw 13, through the hole rotated in external member 15, is connected with traction nail 20 by traction fiber 19 by traction screw 13, and the afterburning screw 18 of the traction screw that turns clockwise, can realize the traction angle of maxillofacial bone same position in dead ahead, side 180 scope.Because vertical distraction support 9 position is adjustable, so, can draw in the optional position of dead ahead, side.If desired, multiple vertical distraction support 9 and (or) multiple rotation external member retaining screw 14 also can be installed and rotate external member 15, drawing simultaneously.
Embodiment 4: is as shown in Figure 9 the traction of one-sided side.Above (as left side needs side to draw, be then arranged on horizontal skull support (1) horizontal skull support (1) or (2); Otherwise, be arranged on horizontal skull support (2)) and one or more vertical distraction supports 9 are installed.By one or more traction screws 13 through the hole of suitable location on vertical distraction support 9, by traction fiber 19, traction screw 13 is connected with traction nail 20, the afterburning screw 18 of the traction screw that turns clockwise, the one-sided side traction of maxillofacial bone can be realized.Because vertical distraction support 9 position is adjustable, so, can draw in the optional position of side.
The above, it is only preferred embodiment of the present invention, not any pro forma restriction is done to the present invention, although the present invention discloses as above with preferred embodiment, but and be not used to limit the present invention, any those skilled in the art, do not departing within the scope of technical solution of the present invention, when the method and technology contents that can utilize above-mentioned announcement are made a little change or be modified to the Equivalent embodiments of equivalent variations, in every case be the content not departing from technical solution of the present invention, according to any simple modification that technical spirit of the present invention is done above embodiment, equivalent variations and modification, still belong in the scope of technical solution of the present invention.
Claims (9)
1. the three-dimensional bone tractor of Middle face, at least comprise: support, skull staple, traction nail, traction fiber, it is characterized in that: also comprise and rotate external member and retaining screw, wherein said support comprises horizontal skull support, vertical distraction support and horizontally tracting support, be key way key bindiny mechanism in the middle of described horizontal skull support, horizontal skull support fixes one or more vertical distraction support by retaining screw, horizontally tracting support and rotation external member are fixed on vertical distraction support by retaining screw, traction screw is connected to vertical distraction support or horizontally tracting support by afterburning screw or rotates in external member.
2. the three-dimensional bone tractor of a kind of Middle face according to claim 1, is characterized in that: described horizontal skull support is provided with arc-shaped slide rail.
3. the three-dimensional bone tractor of a kind of Middle face according to claim 2, it is characterized in that: described vertical distraction support has two kinds of specifications, vertical distraction support is fixed on an optional position for arc-shaped slide rail, and another kind of vertical distraction support is fixed on the key of horizontal skull support.
4. the three-dimensional bone tractor of a kind of Middle face according to claim 1, is characterized in that: described vertical support frame one side is provided with can through the square hole of traction screw, and another side is provided with side by side can through the circular hole rotating external member.
5. the three-dimensional bone tractor of a kind of Middle face according to claim 1, is characterized in that: horizontal skull support is fixed in patient's skull by described skull staple.
6. the three-dimensional bone tractor of a kind of Middle face according to claim 1, it is characterized in that: described vertical distraction support, horizontally tracting support and rotation external member are connected with multiple traction screw, facing to the point that patient's Middle face is different, fixing many pieces of traction titanium nails, traction titanium nail is connected to different traction screw by traction fiber from face.
7. the three-dimensional bone tractor of a kind of Middle face according to claim 1, is characterized in that: described horizontally tracting support is provided with can through the square hole of traction screw.
8. the three-dimensional bone tractor of a kind of Middle face according to claim 1, is characterized in that: described rotation external member one end is provided with can through the square hole of traction screw.
9. the three-dimensional bone tractor of a kind of Middle face according to claim 1, is characterized in that: described retaining screw comprises key way key retaining screw, vertical distraction support retaining screw, rotates external member retaining screw.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510541264.2A CN105055005B (en) | 2015-08-28 | 2015-08-28 | A kind of Middle face three-dimensional bone tractor |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510541264.2A CN105055005B (en) | 2015-08-28 | 2015-08-28 | A kind of Middle face three-dimensional bone tractor |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN105055005A true CN105055005A (en) | 2015-11-18 |
| CN105055005B CN105055005B (en) | 2018-04-27 |
Family
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201510541264.2A Expired - Fee Related CN105055005B (en) | 2015-08-28 | 2015-08-28 | A kind of Middle face three-dimensional bone tractor |
Country Status (1)
| Country | Link |
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| CN (1) | CN105055005B (en) |
Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3391693A (en) * | 1966-02-11 | 1968-07-09 | Georgiade | Cranial fixation apparatus |
| CN2214168Y (en) * | 1995-01-25 | 1995-12-06 | 祝继斌 | Outer fixing lower jaw fracture tractor |
| CN2345165Y (en) * | 1998-10-31 | 1999-10-27 | 戴刚 | Adjustable skull traction appliance |
| CN101141925A (en) * | 2004-05-04 | 2008-03-12 | 芯赛斯公司 | Midface distractor |
| CN201175396Y (en) * | 2008-04-16 | 2009-01-07 | 史俊 | Jaw face external traction stationary barrier |
| CN101822568A (en) * | 2010-02-12 | 2010-09-08 | 中国人民解放军第四军医大学口腔医院 | Adjustable mid-face bone tractor and design method thereof |
| CN201624763U (en) * | 2010-02-12 | 2010-11-10 | 中国人民解放军第四军医大学口腔医院 | An adjustable mid-face bone distractor |
| CN204909606U (en) * | 2015-08-28 | 2015-12-30 | 冯志宏 | Three -dimensional bone tractor in face middle part |
-
2015
- 2015-08-28 CN CN201510541264.2A patent/CN105055005B/en not_active Expired - Fee Related
Patent Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3391693A (en) * | 1966-02-11 | 1968-07-09 | Georgiade | Cranial fixation apparatus |
| CN2214168Y (en) * | 1995-01-25 | 1995-12-06 | 祝继斌 | Outer fixing lower jaw fracture tractor |
| CN2345165Y (en) * | 1998-10-31 | 1999-10-27 | 戴刚 | Adjustable skull traction appliance |
| CN101141925A (en) * | 2004-05-04 | 2008-03-12 | 芯赛斯公司 | Midface distractor |
| CN201175396Y (en) * | 2008-04-16 | 2009-01-07 | 史俊 | Jaw face external traction stationary barrier |
| CN101822568A (en) * | 2010-02-12 | 2010-09-08 | 中国人民解放军第四军医大学口腔医院 | Adjustable mid-face bone tractor and design method thereof |
| CN201624763U (en) * | 2010-02-12 | 2010-11-10 | 中国人民解放军第四军医大学口腔医院 | An adjustable mid-face bone distractor |
| CN204909606U (en) * | 2015-08-28 | 2015-12-30 | 冯志宏 | Three -dimensional bone tractor in face middle part |
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| Publication number | Publication date |
|---|---|
| CN105055005B (en) | 2018-04-27 |
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