CN105250017B - A kind of orthopedic rod connector that multidirectional offer angle compensation is provided - Google Patents
A kind of orthopedic rod connector that multidirectional offer angle compensation is provided Download PDFInfo
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- CN105250017B CN105250017B CN201510851407.XA CN201510851407A CN105250017B CN 105250017 B CN105250017 B CN 105250017B CN 201510851407 A CN201510851407 A CN 201510851407A CN 105250017 B CN105250017 B CN 105250017B
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- 230000000399 orthopedic effect Effects 0.000 title claims abstract description 50
- 229910001069 Ti alloy Inorganic materials 0.000 claims description 4
- 239000011148 porous material Substances 0.000 claims 3
- 239000000956 alloy Substances 0.000 claims 2
- 230000035515 penetration Effects 0.000 abstract description 13
- 206010058907 Spinal deformity Diseases 0.000 description 7
- 210000000278 spinal cord Anatomy 0.000 description 4
- 238000000034 method Methods 0.000 description 3
- 230000008878 coupling Effects 0.000 description 2
- 238000010168 coupling process Methods 0.000 description 2
- 238000005859 coupling reaction Methods 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 230000006870 function Effects 0.000 description 2
- 230000004927 fusion Effects 0.000 description 2
- 229910052751 metal Inorganic materials 0.000 description 2
- 239000002184 metal Substances 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 206010023509 Kyphosis Diseases 0.000 description 1
- 206010033799 Paralysis Diseases 0.000 description 1
- 229910000831 Steel Inorganic materials 0.000 description 1
- 238000004873 anchoring Methods 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 230000004217 heart function Effects 0.000 description 1
- 230000002028 premature Effects 0.000 description 1
- 230000004202 respiratory function Effects 0.000 description 1
- 206010039722 scoliosis Diseases 0.000 description 1
- 230000002269 spontaneous effect Effects 0.000 description 1
- 239000010959 steel Substances 0.000 description 1
- 230000009466 transformation Effects 0.000 description 1
Classifications
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- 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Neurology (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
本发明公开了一种能够多向提供角度补偿的矫形棒连接器,包括连接器主体和锁紧螺钉,所述的连接器主体设置有矫形棒穿入孔,垂直矫形棒穿入孔设置锁紧孔与锁紧螺钉配合,所述的连接器主体上一侧壁设置有延伸部,所述的延伸部上设置有球形孔,球形孔中安装1#万向球,两者转动配合,1#万向球上设置有矫形棒穿入孔且与连接器主体上的矫形棒穿入孔平行,在所述的连接器主体与延伸部之间设置2#万向球,2#万向球位于连接器主体上的球形孔内。采用本连接器,可以使1#矫形棒相对于2#矫形棒进行自由纵向移动,万向球的设置可以使两根矫形棒在一定的角度内摆动,减少了对脊柱左右移动的约束,增加脊柱的柔韧性。
The invention discloses an orthopedic rod connector capable of providing angle compensation in multiple directions, which includes a connector body and a locking screw. The connector body is provided with an orthopedic rod penetration hole, and the vertical orthopedic rod penetration hole is provided with a locking screw. The hole is matched with the locking screw, and the side wall of the main body of the connector is provided with an extension, and the extension is provided with a spherical hole, and a 1# universal ball is installed in the spherical hole, and the two are rotated and matched, 1# The orthopedic rod penetration hole is provided on the universal ball and is parallel to the orthopedic rod penetration hole on the connector main body. A 2# universal ball is set between the connector main body and the extension part, and the 2# universal ball is located at in the spherical hole on the connector body. With this connector, the 1# orthopedic rod can move freely longitudinally relative to the 2# orthopedic rod, and the setting of the universal ball can make the two orthopedic rods swing within a certain angle, which reduces the constraint on the left and right movement of the spine and increases Flexibility of the spine.
Description
技术领域technical field
本发明医疗器械设备技术领域,具体涉及一种能够多向提供角度补偿的矫形棒连接器。The technical field of medical equipment of the present invention specifically relates to an orthopedic rod connector capable of providing angle compensation in multiple directions.
背景技术Background technique
脊柱畸形是指脊柱的一个或数个节段偏离脊柱中线的弯曲,通常伴有椎体的旋转和矢状面上后突或前突的增加或减小。它是一种三维的脊柱畸形,其发生率在青少年中约0.5-2%左右,可由多种疾病所引起。当脊柱侧凸角度过大,或呈现明显的进展趋势时,就需要考虑手术治疗;否则会逐渐发展为严重且僵硬的脊柱畸形,严重影响患儿的心脏和呼吸功能,影响脊髓功能导致瘫痪,甚至威胁生命。手术治疗的主要目的是防止畸形进展、恢复脊柱平衡;尽可能的矫正畸形。目前对脊柱畸形进行手术矫形的基本原理,即基于固定于脊柱上不同部位的金属锚定器具(如椎弓根螺钉、钩、钢丝),由坚强的金属棒将其连接,同时通过工具施加矫形力进行矫形,并强制对脊柱进行固定和融合。Spinal deformity refers to the deviation of one or several segments of the spine from the midline of the spine, usually accompanied by rotation of the vertebral bodies and increased or decreased kyphosis or protrusion on the sagittal plane. It is a three-dimensional spinal deformity with an incidence of about 0.5-2% in adolescents and can be caused by various diseases. When the angle of scoliosis is too large, or shows a clear trend of progress, surgical treatment needs to be considered; otherwise, it will gradually develop into a severe and rigid spinal deformity, which will seriously affect the heart and respiratory function of the child, and affect the spinal cord function leading to paralysis. Even life-threatening. The main purpose of surgical treatment is to prevent the progression of the deformity, restore the balance of the spine, and correct the deformity as much as possible. The current basic principle of surgical correction of spinal deformities is based on metal anchoring devices (such as pedicle screws, hooks, steel wires) fixed to different parts of the spine, connected by strong metal rods, and correction is applied through tools. orthopedic and enforced immobilization and fusion of the spine.
临床上,为了加强对脊柱固定的强度,或在脊柱已固定的节段进行延长固定,以及在小儿早发性脊柱畸形的生长棒治疗中,常常需要使用联接器进行棒与棒之间的联接,目前最常使用的联接器为棒间连接器,由于联接器设计的初衷在于可靠地获得棒与棒之间的稳定联接,其结构形式为,在一个四方体上,加工2个平行的孔,孔壁上加工有锁紧螺钉,把需要连接的两个棒的头对尾分别穿入这两个孔,再用锁紧螺钉压紧锁定,即完成连接,如。Clinically, in order to enhance the strength of spinal fixation, or extend the fixation of the fixed segment of the spine, and in the treatment of growth rods for children with premature spinal deformity, it is often necessary to use a coupler to connect the rods At present, the most commonly used connector is the rod-to-rod connector. Since the original intention of the design of the connector is to reliably obtain a stable connection between rods, its structural form is to process two parallel holes on a square , There are locking screws processed on the hole wall, and the head-to-tail of the two rods to be connected are inserted into the two holes respectively, and then compressed and locked with the locking screws, the connection is completed, such as.
然而,利用现有的棒间联接器治疗小儿早发性脊柱畸形存在明显弊端。一方面,每隔固定的时间(一般6-9个月)均需要行手术一次,以显露联接器,单侧松开其与棒联接的紧固螺钉,并使用撑开力量使小儿脊柱获得有限延长,目的是为脊柱的生长预留空间;由此反复数次,甚至数十次后,必然给手术带来极高的手术并发症。另一方面,矫形棒之间被完全锁死固定,矫形棒无法实现自由伸缩,限制了脊柱自由生长,并不符合目前生物学治疗的原则。为此研制开发了一种可以允许矫形棒自由伸缩,同时带摆动角度补偿的多功能联接器具有十分重大的现实意义。However, there are obvious disadvantages in using the existing inter-rod couplings to treat children with early-onset spinal deformity. On the one hand, an operation is required every fixed time (generally 6-9 months) to expose the coupler, loosen the fastening screw connecting it with the rod unilaterally, and use the distraction force to obtain limited spinal cord in children. The purpose of lengthening is to reserve space for the growth of the spine; repeated several times, even dozens of times, will inevitably bring extremely high surgical complications to the operation. On the other hand, the orthopedic rods are completely locked and fixed, and the orthopedic rods cannot be freely expanded and contracted, which limits the free growth of the spine and does not conform to the current principles of biological treatment. For this reason, it is of great practical significance to develop a multifunctional coupling that can allow the orthopedic rod to expand and contract freely and has swing angle compensation.
发明内容Contents of the invention
本发明的目的是提供一种能够多向提供角度补偿的矫形棒连接器。The purpose of the present invention is to provide an orthopedic rod connector capable of providing angle compensation in multiple directions.
本发明的目的是这样实现的,包括连接器主体和锁紧螺钉,其特征是:所述的连接器主体设置有矫形棒穿入孔,垂直矫形棒穿入孔设置锁紧孔与锁紧螺钉配合,所述的连接器主体上一侧壁设置有延伸部,所述延伸部上设置有球形孔,所述球形孔中安装1#万向球,两者转动配合,所述1#万向球上设置有矫形棒穿入孔且与连接器主体上的矫形棒穿入孔平行,在所述的连接器主体与延伸部之间设置2#万向球,2#万向球位于连接器主体上的球形孔内。The object of the present invention is achieved in this way, including a connector body and a locking screw, characterized in that: the connector body is provided with an orthopedic rod penetration hole, and the vertical orthopedic rod penetration hole is provided with a locking hole and a locking screw Cooperate, the side wall of the main body of the connector is provided with an extension, and the extension is provided with a spherical hole, and a 1# universal ball is installed in the spherical hole, and the two are rotated and matched, and the 1# universal The orthopedic rod penetration hole is set on the ball and is parallel to the orthopedic rod penetration hole on the connector body. A 2# universal ball is set between the connector body and the extension part, and the 2# universal ball is located on the connector body. In the spherical hole on the main body.
采用本连接器将两根矫形棒连接起来以后,解决了置入长棒穿棒连接困难的难题,可以使1#矫形棒相对于2#矫形棒进行自由纵向移动,在适当控制脊柱畸形的同时,诱导畸形的脊柱纵向自由生长,避免了对脊柱生长的约束,并避免了多次反复撑开延长手术和脊髓牵张对于脊髓功能的威胁,1#万向球的设置可以使1#矫形棒相对于2#矫形棒在一定的角度内摆动,2#万向球的设置可以使2#矫形棒相对于1#矫形棒在一定的角度内摆动,减少了对脊柱左右移动的约束,增加脊柱的柔韧性,因此也显著降低了由于一端脊柱被固定二带来的自发性融合风险。After using this connector to connect two orthopedic rods, it solves the difficult problem of inserting a long rod through the rod and connecting them. It can make the 1# orthopedic rod move freely longitudinally relative to the 2# orthopedic rod, and properly control the spinal deformity at the same time. , to induce the free longitudinal growth of the deformed spine, avoiding the restriction on the growth of the spine, and avoiding the threat of repeated distraction and lengthening operations and spinal cord stretching to the spinal cord function. The setting of the 1# universal ball can make the 1# orthopedic rod Compared with the 2# orthopedic rod swinging at a certain angle, the setting of the 2# universal ball can make the 2# orthopedic rod swing at a certain angle relative to the 1# orthopedic rod, which reduces the constraint on the left and right movement of the spine and increases the spine. Therefore, the risk of spontaneous fusion due to the fixation of one end of the spine is also significantly reduced.
附图说明Description of drawings
图1为本发明整体结构示意图;Fig. 1 is a schematic diagram of the overall structure of the present invention;
图2为图1的俯视局部剖视示意图;Fig. 2 is a top view partial cross-sectional schematic diagram of Fig. 1;
图中:1-连接器主体,11-延伸部,2-1#万向球,21-2#万向球,3-锁紧螺钉,4-1#矫形棒,5-2#矫形棒。In the figure: 1-connector body, 11-extension, 2-1# universal ball, 21-2# universal ball, 3-lock screw, 4-1# orthopedic rod, 5-2# orthopedic rod.
具体实施方式Detailed ways
下面结合附图对本发明作进一步说明,但不以任何方式对本发明加以限制,基于本发明教导所作的任何变换,均落入本发明保护范围。The present invention will be further described below in conjunction with the accompanying drawings, but the present invention is not limited in any way, and any transformation made based on the teaching of the present invention falls within the protection scope of the present invention.
如图1~2所示,本发明包括连接器主体1和锁紧螺钉3,所述的连接器主体1设置有矫形棒穿入孔,垂直矫形棒穿入孔设置锁紧孔与锁紧螺钉3配合,所述的连接器主体1上一侧壁设置有延伸部11,所述延伸部11上设置有球形孔,所述球形孔中安装1#万向球2,两者转动配合,所述1#万向球2上设置有矫形棒穿入孔且与连接器主体1上的矫形棒穿入孔平行,在所述的连接器主体1与延伸部11之间设置2#万向球21,2#万向球21位于连接器主体1上的球形孔内。As shown in Figures 1 to 2, the present invention includes a connector body 1 and a locking screw 3. The connector body 1 is provided with an orthopedic rod penetration hole, and the vertical orthopedic rod penetration hole is provided with a locking hole and a locking screw. 3 Cooperate, the side wall of the connector main body 1 is provided with an extension part 11, and the extension part 11 is provided with a spherical hole, and the 1# universal ball 2 is installed in the spherical hole, and the two are rotated and matched, so that The 1# universal ball 2 is provided with an orthopedic rod penetration hole parallel to the orthopedic rod penetration hole on the connector main body 1, and the 2# universal ball is set between the connector main body 1 and the extension part 11 21. The 2# universal ball 21 is located in the spherical hole on the connector body 1.
所述的延伸部11与连接器主体1之间通过固定轴连接。The extension part 11 is connected to the connector main body 1 through a fixed shaft.
所述的连接器主体1为正方体、长方体或者圆柱体结构。The connector body 1 is a cube, cuboid or cylinder structure.
所述的连接器主体1为正方体或长方体时均倒圆角。When the connector main body 1 is a cube or a cuboid, the corners are all rounded.
所述的锁紧孔至少设置一个。At least one locking hole is provided.
所述的连接器主体1为钛合金材质。The connector body 1 is made of titanium alloy.
所述的延伸部11为钛合金材质。The extension part 11 is made of titanium alloy.
本发明的工作原理和过程:Working principle and process of the present invention:
使用本连接器时,先将锁紧螺钉3放松,将2#矫形棒穿入连接器主体1的矫形棒穿入孔中,穿出端矫形棒伸出的长度为2~4mm即可。拧紧锁紧螺钉3,用锁紧螺钉3将矫形棒压紧并固定。再将1#矫形棒穿入万向球2的孔中,穿出端矫形棒的伸出长度为8~20mm。1#矫形棒在万向球2的孔中可以滑动,当矫形棒需要摆动补偿时,1#万向球2和2#万向球21均可同时转动或者相对转动,带动1#矫形棒转动和/或2#矫形棒转动,满足矫形棒摆动的需求,增大了摆动补偿的范围,也增大了摆动的灵活性。When using this connector, loosen the locking screw 3 first, and insert the 2# orthopedic rod into the orthopedic rod penetration hole of the main body 1 of the connector. Tighten the locking screw 3, and use the locking screw 3 to compress and fix the orthopedic rod. Then pass the 1# orthopedic rod into the hole of the universal ball 2, and the protruding length of the orthopedic rod at the end of the thread is 8~20mm. The 1# orthopedic rod can slide in the hole of the universal ball 2. When the orthopedic rod needs swing compensation, the 1# universal ball 2 and the 2# universal ball 21 can rotate at the same time or relative to each other, driving the 1# orthopedic rod to rotate And/or the 2# orthopedic rod rotates to meet the swinging requirement of the orthopedic rod, increases the range of swing compensation, and also increases the flexibility of swing.
Claims (5)
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CN201510851407.XA CN105250017B (en) | 2015-11-30 | 2015-11-30 | A kind of orthopedic rod connector that multidirectional offer angle compensation is provided |
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CN201510851407.XA CN105250017B (en) | 2015-11-30 | 2015-11-30 | A kind of orthopedic rod connector that multidirectional offer angle compensation is provided |
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CN105250017B true CN105250017B (en) | 2018-03-06 |
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CN107260282B (en) * | 2017-07-12 | 2023-10-27 | 北京市富乐科技开发有限公司 | double-U screw |
CN110151285A (en) * | 2019-01-30 | 2019-08-23 | 浙江德康医疗器械有限公司 | A kind of double end pedestal multi-angle plane regulating spinal internal fixation system |
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US5443464A (en) * | 1993-02-16 | 1995-08-22 | Memphis Orthopaedic Design, Inc. | External fixator apparatus |
CN1832705A (en) * | 2003-06-11 | 2006-09-13 | Sdgi控股股份有限公司 | Variable offset spinal fixation system |
CN1893883A (en) * | 2003-09-08 | 2007-01-10 | 斯恩蒂斯有限公司 | Longitudinal carriage |
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