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CN105342676B - Multifunctional assembled physiological bone pressurization external fixed support for bone - Google Patents

Multifunctional assembled physiological bone pressurization external fixed support for bone Download PDF

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Publication number
CN105342676B
CN105342676B CN201510895376.8A CN201510895376A CN105342676B CN 105342676 B CN105342676 B CN 105342676B CN 201510895376 A CN201510895376 A CN 201510895376A CN 105342676 B CN105342676 B CN 105342676B
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carbon fiber
bone
fiber bar
screw
bar
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CN105342676A (en
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郝晨光
田军
王兆年
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Sun Wei
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Harbin Jerry Medical Technology Co Ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/60Surgical 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
    • A61B17/64Devices extending alongside the bones to be positioned
    • A61B17/6416Devices extending alongside the bones to be positioned with non-continuous, e.g. hinged, pin-clamp connecting element
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/60Surgical 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
    • A61B17/64Devices extending alongside the bones to be positioned
    • A61B17/6425Devices extending alongside the bones to be positioned specially adapted to be fitted across a bone joint
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/60Surgical 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
    • A61B17/66Alignment, compression or distraction mechanisms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/564Methods for bone or joint treatment

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
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  • Heart & Thoracic Surgery (AREA)
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  • Molecular Biology (AREA)
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  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

Multifunctional assembled physiological bone pressurization external fixed support for bone, belongs to bone-specific drug equipment technology field.The present invention blindly carries out bone pressurization to solve bone pressurizer to fracture site, and nonunion often occurs;Volume is big, is fixed on outside not readily portable on limbs, is made troubles problem to postoperative life.The present invention includes physiological bone pressurizer, physiological bone pressurizer is arranged on carbon fiber bar, nail geometrical clamp is also equipped with carbon fiber bar, the afterbody of nail is arranged on geometrical clamp, adjusting physiological bone pressurizer drives carbon fiber bar to be moved to bone stump, and carbon fiber bar drives nail geometrical clamp thereon, and geometrical clamp drives nail, nail drives fracture segment, completes physiological bone pressurization.The multifunctional assembled physiological bone pressurization external fixed support for bone of the present invention, it is small volume, in light weight, the pressurization of broken ends of fractured bone physiological bone flexibly, safety, it is simple to operate, improve cure rate, avoid the infection of bone brought during Open fracture treatmeT.

Description

组合式多功能生理骨加压骨外固定支架Combined Multifunctional Physiological Bone Compression Bone External Fixation Bracket

技术领域technical field

本发明涉及一种骨外固定支架,具体的说是涉及一种组合式多功能生理骨加压骨外固定支架,用于人体四肢各部位骨折外固定治疗,特别适用多段骨折不愈合骨加压和骨折不愈合骨缺损断端生理骨加压外固定治疗多段骨折不愈合,属于骨治疗器械技术领域。The invention relates to a bone external fixation bracket, in particular to a combined multifunctional physiological bone compression bone external fixation bracket, which is used for external fixation treatment of fractures in various parts of human limbs, and is especially suitable for multi-segment fracture nonunion bone compression The utility model relates to the treatment of multi-segment fracture nonunion by physiological bone pressure external fixation of broken end of bone defect and fracture nonunion, and belongs to the technical field of bone therapy equipment.

背景技术Background technique

目前没有组合式多功能生理骨加压骨外固定支架。现有的一种骨外固定支架占用空间大,体积大,术后携带不方便,也没有生理加压装置,另一种是带骨加压器的外固定支架,骨加压器只是扭转加压器伸缩体(螺纹杆),使一端骨折段向骨折断端移动,产生骨加压,只能在标尺上看到位移毫米数,当断端吻合后,在断端产生压应力数值是未知数,达不到生理压应力,造成骨折不愈合,也经常发生外固定支架应力遮挡,骨折断端发生骨折不愈合。Currently there is no combined multifunctional physiological bone compression bone external fixation bracket. The existing bone external fixation bracket takes up a lot of space and is bulky, and it is inconvenient to carry after operation, and there is no physiological pressure device. The other is an external fixation bracket with a bone presser, which only twists The telescopic body (threaded rod) of the compression device moves the fracture segment at one end to the fracture end to generate bone compression, and the displacement in millimeters can only be seen on the scale. When the ends are anastomosed, the value of the compressive stress at the end is unknown , can not reach the physiological compressive stress, resulting in fracture nonunion, external fixator stress shielding often occurs, and fracture nonunion occurs at the broken end of the fracture.

发明内容Contents of the invention

在下文中给出了关于本发明的简要概述,以便提供关于本发明的某些方面的基本理解。应当理解,这个概述并不是关于本发明的穷举性概述。它并不是意图确定本发明的关键或重要部分,也不是意图限定本发明的范围。其目的仅仅是以简化的形式给出某些概念,以此作为稍后论述的更详细描述的前序。A brief overview of the invention is given below in order to provide a basic understanding of some aspects of the invention. It should be understood that this summary is not an exhaustive overview of the invention. It is not intended to identify key or critical parts of the invention nor to delineate the scope of the invention. Its purpose is merely to present some concepts in a simplified form as a prelude to the more detailed description that is discussed later.

鉴于此,根据本发明的一个方面,提供了组合式多功能生理骨加压骨外固定支架,以至少解决现有的骨加压器是盲目地对骨折断端进行骨加压,用螺纹杆推动,虽然设有标尺,可见移动毫米数,但是不知施加在骨折断端吻合后压应力,因此不科学,没有压应力数据,没有恢复该骨折段正常生理压应力,所以经常发生骨折不愈合;还有目前的固定支架体积大,外固定在肢体上不便于携带,给术后生活带来不便。In view of this, according to one aspect of the present invention, a combined multifunctional physiological bone compression bone external fixation bracket is provided to at least solve the problem that the existing bone compression device blindly applies bone compression to the broken end of the fracture. Pushing, although there is a ruler, the number of millimeters can be seen, but the compressive stress applied to the fracture ends after anastomosis is unknown, so it is unscientific, there is no compressive stress data, and the normal physiological compressive stress of the fracture segment has not been restored, so fracture nonunion often occurs; In addition, the current fixed bracket is bulky, and the external fixation is not easy to carry on the limbs, which brings inconvenience to postoperative life.

方案一:本发明的组合式多功能生理骨加压骨外固定支架,包括第一碳纤维杆、加固杆、第二碳纤维杆、第三碳纤维杆、第一钉夹、第二钉夹、第三钉夹、第一双杆联夹、万向联夹和凸形加压器和生理骨加压器;Scheme 1: The combined multifunctional physiological bone compression bone external fixation bracket of the present invention includes a first carbon fiber rod, a reinforcing rod, a second carbon fiber rod, a third carbon fiber rod, a first nail clip, a second nail clip, a third Nail clip, the first double-bar joint clip, universal joint clip and convex presser and physiological bone presser;

所述第一碳纤维杆、第三碳纤维杆和第二碳纤维杆水平同轴设置;加固杆置于第一碳纤维杆、第三碳纤维杆和第二碳纤维杆的下方,且与第一碳纤维杆平行设置;加固杆的端部分别通过一个第一双杆联夹与第一碳纤维杆和第二碳纤维杆连接,加固杆的中部通过一个第一双杆联夹与第三碳纤维杆连接;第一碳纤维杆和第三碳纤维杆通过凸形加压器连接,第三碳纤维杆和第二碳纤维杆通过生理骨加压器连接;第一碳纤维杆上安装有第一钉夹,第三碳纤维杆上通过万向联夹安装有第三钉夹,第二碳纤维杆上通过万向联夹安装有第二钉夹The first carbon fiber rod, the third carbon fiber rod and the second carbon fiber rod are arranged horizontally and coaxially; the reinforcing rod is placed below the first carbon fiber rod, the third carbon fiber rod and the second carbon fiber rod, and is arranged parallel to the first carbon fiber rod ; The ends of the reinforcing rod are respectively connected to the first carbon fiber rod and the second carbon fiber rod through a first double-rod clamp, and the middle part of the reinforcing rod is connected to the third carbon fiber rod through a first double-rod clamp; the first carbon fiber rod It is connected with the third carbon fiber rod through a convex presser, and the third carbon fiber rod is connected with the second carbon fiber rod through a physiological bone presser; the first nail clip is installed on the first carbon fiber rod, and the third carbon fiber rod is connected through a universal joint. The third nail clip is installed on the joint clamp, and the second nail clamp is installed on the second carbon fiber rod through the universal joint clamp

对生理骨加压器进行设计:Designing Physiological Bone Compressors:

所述生理骨加压器包括固定块、调压块、拉伸弹簧、指针螺钉、标尺外套筒、内套筒、动力螺钉、螺杆和第一短螺钉;The physiological bone pressurizer includes a fixed block, a pressure regulating block, a tension spring, a pointer screw, a scale outer sleeve, an inner sleeve, a power screw, a screw rod and a first short screw;

所述标尺外套筒开口端与内套筒开口端滑动套装,标尺外套筒的筒底与固定块的立板通过第一短螺钉固定连接,内套筒的筒底设置有与其一体成型的动力螺钉,动力螺钉与调压块建立连接,动力螺钉上设置有调压旋钮,拉伸弹簧设置在标尺外套筒和内套筒内,拉伸弹簧的一端与标尺外套筒通过螺杆固定连接,标尺外套筒与内套筒重合部的壁面上开有长槽孔,长槽孔处刻制或安装有标尺,拉伸弹簧的另一端通过指针螺钉与内套筒连接,指针螺钉穿过长槽孔。The opening end of the outer sleeve of the scale and the opening end of the inner sleeve are slidingly fitted, the bottom of the outer sleeve of the scale is fixedly connected with the vertical plate of the fixed block through the first short screw, and the bottom of the inner sleeve is provided with an integrally formed Power screw, the power screw is connected with the pressure regulating block, the power screw is provided with a pressure regulating knob, the tension spring is set in the scale outer sleeve and the inner sleeve, and one end of the tension spring is fixedly connected with the scale outer sleeve through a screw , There is a long slot hole on the wall of the coincidence part of the outer sleeve of the scale and the inner sleeve, and a scale is engraved or installed on the long slot hole. The other end of the tension spring is connected with the inner sleeve through the pointer screw, and the pointer screw passes through Long slot.

对生理骨加压器进一步设计:Further design of the physiological bone compressor:

生理骨加压器还包括第一圆柱刻度尺和顶丝,固定块和调压块的上部开设有第一安装孔,两个第一安装孔之间安装第一圆柱刻度尺,第一圆柱刻度尺通过顶丝与固定块固定。The physiological bone pressurizer also includes a first cylindrical scale and a top wire. The upper part of the fixed block and the pressure regulating block is provided with a first installation hole, and a first cylindrical scale is installed between the two first installation holes. The first cylindrical scale The ruler is fixed with the fixed block by the top wire.

对生理骨加压器进一步设计:Further design of the physiological bone compressor:

所述固定块和调压块的上部还开设有第二安装孔,第二安装孔用于安装第三碳纤维杆和第二碳纤维杆,固定块通过长螺杆防止其沿第三碳纤维杆的轴线发生转动;调压块通过长螺杆防止其沿第二碳纤维杆的轴线发生转动。The upper part of the fixed block and the pressure regulating block is also provided with a second installation hole, the second installation hole is used to install the third carbon fiber rod and the second carbon fiber rod, and the fixed block prevents it from happening along the axis of the third carbon fiber rod through a long screw. Rotation; the pressure regulator block is prevented from rotating along the axis of the second carbon fiber rod by a long screw.

对凸形加压器进行设计:Design for a convex pressurizer:

所述凸形加压器包括正螺纹固定夹、反螺纹固定夹、双向调压螺杆、第二双杆联夹、第二圆柱刻度尺;第一碳纤维杆通过正螺纹固定夹与双向调压螺杆连接,第三碳纤维杆通过反螺纹固定夹与双向调压螺杆连接,第一碳纤维杆和第三碳纤维杆的相邻端各通过一个第二双杆联夹与第二圆柱刻度尺连接。The convex pressurizer includes a positive thread fixing clip, a reverse thread fixing clip, a two-way pressure regulating screw, a second double-rod joint clamp, and a second cylindrical scale; the first carbon fiber rod passes through the positive thread fixing clip and the two-way pressure regulating screw Connection, the third carbon fiber rod is connected with the two-way pressure regulating screw through the reverse threaded clamp, and the adjacent ends of the first carbon fiber rod and the third carbon fiber rod are respectively connected with the second cylindrical scale through a second double rod clamp.

对凸形加压器进一步设计:Further design of the convex pressurizer:

所述正螺纹固定夹包括两个相对布置的正螺纹固定夹;两个相对布置的正螺纹固定夹的一端形成圆柱形孔道,用于安装第一碳纤维杆;两个相对布置的正螺纹固定夹的另一端内设置螺母,螺母与双向调压螺杆正螺纹连接;螺母与任意一个正螺纹固定夹制成一体;两个相对布置的正螺纹固定夹中间设置压缩弹簧,第二短螺钉穿过压缩弹簧将两个正螺纹固定夹连接在一起。The positive thread fixing clip includes two oppositely arranged positive thread fixing clips; one end of the two oppositely arranged positive thread fixing clips forms a cylindrical hole for installing the first carbon fiber rod; the two oppositely arranged positive thread fixing clips The other end of the nut is provided with a nut, and the nut is connected with the positive thread of the two-way pressure regulating screw; the nut is integrated with any positive thread fixing clip; a compression spring is arranged in the middle of the two oppositely arranged positive thread fixing clips, and the second short screw passes through the compression spring. A spring connects the two positive threaded clips together.

所述反螺纹固定夹包括两个相对布置的反螺纹固定夹;两个相对布置的反螺纹固定夹的一端形成圆柱形孔道,用于安装第三碳纤维杆;两个相对布置的反螺纹固定夹的另一端内设置螺母,螺母与双向调压螺杆反螺纹连接;螺母与任意一个反螺纹固定夹制成一体;两个相对布置的反螺纹固定夹中间设置压缩弹簧,第二短螺钉穿过压缩弹簧将两个反螺纹固定夹连接在一起。The anti-threaded fixing clips include two oppositely arranged anti-threaded fixing clips; one end of the two oppositely arranged anti-threaded fixing clips forms a cylindrical hole for installing the third carbon fiber rod; the two oppositely arranged anti-threaded fixing clips The other end of the nut is provided with a nut, and the nut is connected with the reverse thread of the two-way pressure regulating screw; the nut is integrated with any one of the reverse thread fixing clips; a compression spring is arranged in the middle of the two oppositely arranged reverse thread fixing clips, and the second short screw passes through the compression A spring connects the two reverse-threaded retaining clips together.

所述第二双杆联夹包括两个相对布置的加固夹块;两个相对布置的加固夹块的两端均形成圆柱形孔道;两个相对布置的加固夹块中部通过第二短螺钉连接在一起;位于上部的圆柱形孔道用于安装第二圆柱刻度尺;位于下部的圆柱形孔道用于连接第一碳纤维杆和第三碳纤维杆。The second double-bar joint clamp includes two oppositely arranged reinforcement clips; both ends of the two oppositely arranged reinforcement clips form cylindrical channels; the middle parts of the two oppositely arranged reinforcement clips are connected by second short screws Together; the upper cylindrical hole is used to install the second cylindrical scale; the lower cylindrical hole is used to connect the first carbon fiber rod and the third carbon fiber rod.

所述第一双杆联夹与第二双杆联夹结构相同,位于上部的圆柱形孔道用于安装第一碳纤维杆和第二碳纤维杆;位于下部的圆柱形孔道用于安装加固杆。The first double-bar clamp has the same structure as the second double-bar clamp, the upper cylindrical hole is used to install the first carbon fiber rod and the second carbon fiber rod; the lower cylindrical hole is used to install the reinforcing rod.

对第一钉夹进行设计:To design the first clip:

所述第一钉夹为卡扣钉夹,所述卡扣钉夹包括卡扣螺钉、钢钉上夹板、钢钉下夹板、钉夹弹簧、带齿U槽夹块、U槽夹块和小螺钉,卡扣螺钉的下端依次穿过钢钉上夹板、钢钉下夹板、钉夹弹簧、带齿U槽夹块和U槽夹块后与小螺钉建立联接,所述钢钉下夹板和钢钉上夹板的接触面上设有钢钉槽,带齿U槽夹块和U槽夹块的接触面上均设有U形槽,U形槽组合后用于安装第一碳纤维杆,所述钢钉下夹板的下表面和带齿U槽夹块的上表面均为齿状面。The first nail clamp is a buckle nail clamp, and the buckle nail clamp includes a buckle screw, a steel nail upper splint, a steel nail lower splint, a nail clip spring, a toothed U-groove clamp block, a U-groove clamp block and a small Screw, the lower end of the buckle screw passes through the upper splint of the steel nail, the lower splint of the steel nail, the nail clip spring, the toothed U-groove clamp block and the U-groove clamp block to establish a connection with the small screw, the lower splint of the steel nail and the steel nail A steel nail groove is provided on the contact surface of the nailed splint, and a U-shaped groove is provided on the contact surface of the toothed U-groove clamp block and the U-groove clamp block. After the U-shaped groove is combined, it is used to install the first carbon fiber rod. The lower surface of the steel nail lower splint and the upper surface of the toothed U-groove clamp block are toothed surfaces.

对第二钉夹进行设计:所述第二钉夹为圆柱头万向钉夹。Design the second nail clip: the second nail clip is a cylindrical head universal nail clip.

对第三钉夹进行设计:所述第三钉夹为方头万向钉夹。Design the third nail clip: the third nail clip is a square head universal nail clip.

对万向联夹进行设计:To design the universal clamp:

所述万向联夹包括两个相对布置的万向夹块;两个相对布置的万向夹块的一端均形成圆柱形孔道,圆柱形孔道用于安装第三碳纤维杆;两个相对布置的万向夹块的另一端均形成球形孔道,球形孔道用于连接圆柱头万向钉夹和/或方头万向钉夹。The universal clamp includes two oppositely arranged universal clamp blocks; one end of the two oppositely arranged universal clamp blocks forms a cylindrical tunnel, and the cylindrical tunnel is used to install the third carbon fiber rod; two oppositely arranged The other ends of the universal clamp blocks are all formed with spherical channels, which are used for connecting the cylindrical head universal nail clips and/or the square head universal nail clips.

方案一尤其适用于多段骨折,横行骨折与骨折不愈合类的多段骨折。Plan 1 is especially suitable for multi-segment fractures, transverse fractures and multi-segment nonunion fractures.

方案二:本发明的组合式多功能生理骨加压骨外固定支架,包括第一碳纤维杆、加固杆、第二碳纤维杆、第一钉夹、第一双杆联夹和生理骨加压器;Scheme 2: The combined multifunctional physiological bone compression bone external fixation bracket of the present invention includes a first carbon fiber rod, a reinforcing rod, a second carbon fiber rod, a first nail clip, a first double-bar joint clip and a physiological bone pressure device ;

所述第一碳纤维杆和第二碳纤维杆水平同轴设置;加固杆置于第一碳纤维杆和第二碳纤维杆的下方,且与第一碳纤维杆平行设置;加固杆的端部分别通过一个第一双杆联夹与第一碳纤维杆和第二碳纤维杆连接;第一碳纤维杆和第二碳纤维杆通过生理骨加压器连接;第一碳纤维杆和第二碳纤维杆上安装有第一钉夹。The first carbon fiber rod and the second carbon fiber rod are arranged horizontally and coaxially; the reinforcing rod is placed below the first carbon fiber rod and the second carbon fiber rod, and arranged parallel to the first carbon fiber rod; A double rod clamp is connected with the first carbon fiber rod and the second carbon fiber rod; the first carbon fiber rod and the second carbon fiber rod are connected by a physiological bone presser; the first nail clip is installed on the first carbon fiber rod and the second carbon fiber rod .

对生理骨加压器进行设计:Designing Physiological Bone Compressors:

所述生理骨加压器包括第三双杆联夹、拉伸弹簧、指针螺钉、标尺外套筒、内套筒、动力螺钉、螺杆和第一短螺钉;The physiological bone pressurizer includes a third double-bar clamp, a tension spring, a pointer screw, a scale outer sleeve, an inner sleeve, a power screw, a screw rod and a first short screw;

所述标尺外套筒开口端与内套筒开口端滑动套装,标尺外套筒的筒底与一个第三双杆联夹通过第一短螺钉连接,内套筒的筒底设置有与其一体成型的动力螺钉,动力螺钉与另一个第三双杆联夹螺纹连接,动力螺钉上设置有调压旋钮,拉伸弹簧设置在标尺外套筒和内套筒内,拉伸弹簧的一端与标尺外套筒通过螺杆固定连接,标尺外套筒与内套筒重合部的壁面上开有长槽孔,长槽孔处刻制或安装有标尺,拉伸弹簧的另一端通过指针螺钉与内套筒连接,指针螺钉穿过长槽孔;第三双杆联夹的上部连接第一碳纤维杆和第二碳纤维杆;生理骨加压器还包括第一圆柱刻度尺和第二双杆联夹,第二双杆联夹的上部安装第一圆柱刻度尺,第二双杆联夹的下部安装第一碳纤维杆和第二碳纤维杆。The opening end of the outer sleeve of the scale is slidingly fitted with the opening end of the inner sleeve, the bottom of the outer sleeve of the scale is connected with a third double-bar clamp through the first short screw, and the bottom of the inner sleeve is provided with an integrally formed The power screw, the power screw is threadedly connected with another third double-bar clamp, the power screw is provided with a pressure regulating knob, the tension spring is arranged in the outer sleeve and the inner sleeve of the scale, and one end of the tension spring is connected to the outer sleeve of the scale. The sleeve is fixedly connected by a screw. There is a long slot hole on the wall of the coincidence part of the outer sleeve of the ruler and the inner sleeve. The long slot hole is engraved or installed with a scale. connection, the pointer screw passes through the long slotted hole; the upper part of the third double-bar clamp connects the first carbon fiber rod and the second carbon fiber rod; the physiological bone pressurizer also includes the first cylindrical scale and the second double-bar clamp, the first The first cylindrical scale is installed on the upper part of the two double-bar joint clamps, and the first carbon fiber rod and the second carbon fiber rod are installed on the lower part of the second double-bar joint clamp.

第三双杆联夹包括两个相对布置的半片夹;两个相对布置的半片夹的一端形成圆柱形孔道,用于安装第一碳纤维杆或第二碳纤维杆;两个相对布置的半片夹的另一端内设置螺母,螺母与动力螺钉螺纹连接;螺母与任意一个半片夹制成一体;两个相对布置的半片夹中间设置压缩弹簧,第二短螺钉穿过压缩弹簧将两个半片夹连接在一起。The third double-bar clamp includes two oppositely arranged half-piece clips; one end of the two oppositely arranged half-piece clips forms a cylindrical hole for installing the first carbon fiber rod or the second carbon fiber rod; the two oppositely arranged half-piece clips The other end is provided with a nut, and the nut is threadedly connected with the power screw; the nut is integrated with any half clip; a compression spring is arranged in the middle of the two oppositely arranged half clips, and the second short screw passes through the compression spring to connect the two half clips. Together.

方案二中的第一钉夹的具体结构与方案一中相同;另外第一钉夹可采用方案一中的万向联夹与第三钉夹组合替换,或者第一钉夹可采用方案一中的万向联夹与第二钉夹组合替换。The specific structure of the first nail clip in plan two is the same as that in plan one; in addition, the first nail clip can be replaced by the combination of the universal clamp and the third nail clip in plan one, or the first nail clip can be replaced by the first nail clip in plan one The combination of the universal joint clip and the second nail clip is replaced.

方案二尤其适用于治疗斜形骨折,术后可将生理骨加压器拆下,便于携带,方便生活。The second option is especially suitable for the treatment of oblique fractures. After the operation, the physiological bone pressor can be removed, which is easy to carry and convenient for life.

方案三:本发明的组合式多功能生理骨加压骨外固定支架,包括第一碳纤维杆、加固杆、第二碳纤维杆、第一钉夹、第一双杆联夹和生理骨加压器;Scheme 3: The combined multifunctional physiological bone compression bone external fixation bracket of the present invention includes a first carbon fiber rod, a reinforcing rod, a second carbon fiber rod, a first nail clip, a first double-bar joint clip and a physiological bone pressure device ;

所述第一碳纤维杆和第二碳纤维杆水平同轴设置;加固杆置于第一碳纤维杆和第二碳纤维杆的下方,且与第一碳纤维杆平行设置;加固杆的端部分别通过一个第一双杆联夹与第一碳纤维杆和第二碳纤维杆连接;第一碳纤维杆和第二碳纤维杆通过生理骨加压器连接;第一碳纤维杆和第二碳纤维杆上安装有第一钉夹;生理骨加压器包括固定块、调压块、拉伸弹簧、指针螺钉、标尺外套筒、内套筒、动力螺钉、螺杆和第一短螺钉;The first carbon fiber rod and the second carbon fiber rod are arranged horizontally and coaxially; the reinforcing rod is placed below the first carbon fiber rod and the second carbon fiber rod, and arranged parallel to the first carbon fiber rod; A double rod clamp is connected with the first carbon fiber rod and the second carbon fiber rod; the first carbon fiber rod and the second carbon fiber rod are connected by a physiological bone presser; the first nail clip is installed on the first carbon fiber rod and the second carbon fiber rod ; Physiological bone pressurizer includes fixation block, pressure regulating block, tension spring, pointer screw, ruler outer sleeve, inner sleeve, power screw, screw rod and first short screw;

所述标尺外套筒开口端与内套筒开口端滑动套装,标尺外套筒的筒底与固定块的立板通过第一短螺钉固定连接,内套筒的筒底设置有与其一体成型的动力螺钉,动力螺钉与调压块建立连接,动力螺钉上设置有调压旋钮,拉伸弹簧设置在标尺外套筒和内套筒内,拉伸弹簧的一端与标尺外套筒通过螺杆固定连接,标尺外套筒与内套筒重合部的壁面上开有长槽孔,长槽孔处刻制或安装有标尺,拉伸弹簧的另一端通过指针螺钉与内套筒连接,指针螺钉穿过长槽孔。The opening end of the outer sleeve of the scale and the opening end of the inner sleeve are slidingly fitted, the bottom of the outer sleeve of the scale is fixedly connected with the vertical plate of the fixed block through the first short screw, and the bottom of the inner sleeve is provided with an integrally formed Power screw, the power screw is connected with the pressure regulating block, the power screw is provided with a pressure regulating knob, the tension spring is set in the scale outer sleeve and the inner sleeve, and one end of the tension spring is fixedly connected with the scale outer sleeve through a screw , There is a long slot hole on the wall of the coincidence part of the outer sleeve of the scale and the inner sleeve, and a scale is engraved or installed on the long slot hole. The other end of the tension spring is connected with the inner sleeve through the pointer screw, and the pointer screw passes through Long slot.

对生理骨加压器进一步设计:Further design of the physiological bone compressor:

生理骨加压器还包括第一圆柱刻度尺和顶丝,固定块和调压块的上部开设有第一安装孔,两个第一安装孔之间安装第一圆柱刻度尺,第一圆柱刻度尺通过顶丝与固定块固定。The physiological bone pressurizer also includes a first cylindrical scale and a top wire. The upper part of the fixed block and the pressure regulating block is provided with a first installation hole, and a first cylindrical scale is installed between the two first installation holes. The first cylindrical scale The ruler is fixed with the fixed block by the top wire.

对生理骨加压器进一步设计:Further design of the physiological bone compressor:

所述固定块和调压块的上部还开设有第二安装孔,第二安装孔用于安装第一碳纤维杆和第二碳纤维杆,固定块通过长螺杆防止其沿第一碳纤维杆的轴线发生转动;调压块通过长螺杆防止其沿第二碳纤维杆的轴线发生转动。The upper part of the fixed block and the pressure regulating block is also provided with a second installation hole, the second installation hole is used to install the first carbon fiber rod and the second carbon fiber rod, and the fixed block prevents it from happening along the axis of the first carbon fiber rod through a long screw. Rotation; the pressure regulator block is prevented from rotating along the axis of the second carbon fiber rod by a long screw.

方案三中的第一钉夹的具体结构与方案一中相同;另外第一钉夹可采用方案一中的万向联夹与第三钉夹组合替换,或者第一钉夹可采用方案一中的万向联夹与第二钉夹组合替换。The specific structure of the first nail clip in plan three is the same as that in plan one; in addition, the first nail clip can be replaced by the combination of the universal joint clip and the third nail clip in plan one, or the first nail clip can be replaced by the one in plan one The combination of the universal joint clip and the second nail clip is replaced.

本发明所达到的效果为:The effect achieved by the present invention is:

组合式多功能生理骨加压骨外固定支架,体积小、重量轻,断端生理骨加压灵活、安全,操作简单,提高治愈率,避免开放性骨折治疗时带来的骨感染。Combined multifunctional physiological bone compression bone external fixation bracket, small in size, light in weight, flexible and safe in broken end physiological bone compression, easy to operate, improves healing rate, and avoids bone infection caused by open fracture treatment.

组合式多功能生理骨加压骨外固定支架,采用凸形加压器和生理骨加压器,实现了多段不同类型骨折,骨断端恢复了人体本来骨折部位的生理压应力。Combined multi-functional physiological bone compression bone external fixation bracket adopts convex pressure device and physiological bone pressure device to realize multi-segment different types of fractures, and the broken end of the bone restores the physiological pressure stress of the original fracture site of the human body.

生理压应力的数据计算方法推理(参见图1至图4),90年代的方法胫骨斜形骨折,骨断端重叠移位,斜形骨折骨断端呈重叠移位(参见图1和图3),重叠移位是由骨折段软组织,如皮肤、肌肉、肌腱、筋膜、血管等收缩张力造成的。首先用小夹板外固定,做跟骨牵引,开始用6KG重锤,三天后重叠胫骨骨折已牵引矫正,然后换重锤为2.5KG,维持重量直到骨折愈合,拆除跟骨牵引,拆除外固定小夹板。现在将3KG定为生理压应力,本发明的生理压应力3KG是在骨断端吻合接触后施加压力,恢复了骨折段原生理压应力,才能使骨折断端髓内、外骨痂形成,达到骨折愈合治疗的目的。The reasoning of the data calculation method of physiological compressive stress (see Figure 1 to Figure 4), the oblique fracture of the tibia with the method in the 1990s, the bone ends overlapped and shifted, and the bone ends of the oblique fracture showed overlapping displacement (see Figures 1 and 3 ), the overlapping displacement is caused by the contraction tension of the soft tissue of the fracture segment, such as skin, muscle, tendon, fascia, blood vessel, etc. First use a small splint for external fixation, do calcaneal traction, start with a 6KG weight, after three days the overlapping tibial fracture has been corrected by traction, then change the weight to 2.5KG, maintain the weight until the fracture heals, remove the calcaneal traction, remove the external fixator splint. Now 3KG is defined as the physiological compressive stress. The physiological compressive stress 3KG of the present invention applies pressure after the anastomotic contact of the broken end of the bone, and restores the original physiological compressive stress of the fracture segment, so that the intramedullary and outer callus of the broken end of the fracture can be formed to achieve fracture healing. purpose of treatment.

组合式:骨外固定支架各部件可以根据患者骨折部位,骨折类型,局部软组织损伤、解剖个体化准确选用,适用于各种骨折外固定治疗,提高复杂骨折的治愈率。Combined type: each component of the external fixation bracket can be accurately selected according to the patient's fracture site, fracture type, local soft tissue injury, and anatomy. It is suitable for external fixation of various fractures and improves the healing rate of complex fractures.

多功能:骨外固定支架能完成人体四肢各部位骨折复位外固定,对新鲜骨折可用可拆卸的凸形加压器,可以随时对需要骨加压部位骨折断端骨加压,加压后,可将凸形加压器拆卸下来,减轻重量,减少麻烦,方便携带。Multi-functional: The bone external fixation bracket can complete the reduction and external fixation of fractures in various parts of the human body. For fresh fractures, a detachable convex presser can be used to pressurize the fractured end of the bone at any time. After pressurization, The convex pressurizer can be disassembled to reduce weight and trouble, and it is convenient to carry.

本发明的骨外固定支架可以对胫骨、股骨、肱骨尺挠骨各部位骨折、多发骨折和单一骨折进行治疗,术后可将加压器进行拆卸。The bone external fixation bracket of the present invention can treat fractures, multiple fractures and single fractures of tibia, femur, humerus and ulnar radius, and the pressurizer can be disassembled after operation.

生理骨加压是指根据骨折患者骨折部位、骨折类型、生理压应力不同分析判断骨折断端生理压应力数值,确定转动动力螺钉,使指针螺钉的指针线移动,实现在骨断端加压,达到生理压应力,提高骨折愈合率。术后可将加压器进行拆卸,减轻重量,减少麻烦,方便携带。Physiological bone compression refers to the analysis and judgment of the physiological pressure stress value of the fracture end according to the fracture site, fracture type, and physiological pressure stress of the fracture patient, and determines the rotation of the dynamic screw to move the pointer line of the pointer screw to achieve pressure on the bone end. Reach physiological compressive stress and improve fracture healing rate. After the operation, the pressurizer can be disassembled to reduce weight, reduce trouble, and facilitate portability.

附图说明Description of drawings

图1是胫骨斜形骨折重叠移位根骨牵引示意图;Figure 1 is a schematic diagram of the overlapping displacement root bone traction of an oblique tibial fracture;

图2是胫骨根骨牵引骨折复位,改换重锤维持牵引示意图;Figure 2 is a schematic diagram of reduction of tibial root bone traction fracture and replacement of weights to maintain traction;

图3是股骨斜形骨折重叠移位,牵引示意图;Figure 3 is a schematic diagram of overlapping displacement and traction of an oblique femoral fracture;

图4是股骨牵引复位,改换重锤维持牵引示意图;Figure 4 is a schematic diagram of femoral traction reduction and replacement of weights to maintain traction;

图5是根据本发明的实施例1的组合式多功能生理骨加压外固定支架立体结构图;5 is a three-dimensional structure diagram of a combined multifunctional physiological bone compression external fixation bracket according to Embodiment 1 of the present invention;

图6是根据本发明的实施例的卡扣钉夹连接关系示意图;Fig. 6 is a schematic diagram of the connection relationship between the clips of the buckle according to an embodiment of the present invention;

图7是根据本发明的实施例的卡扣钉夹组合示意图;Fig. 7 is a schematic diagram of a snap-on nail clip assembly according to an embodiment of the present invention;

图8是根据本发明的实施例的第二双杆联夹的分体结构示意图;Fig. 8 is a schematic diagram of a split structure of a second double-bar clamp according to an embodiment of the present invention;

图9是根据本发明的实施例的卡扣钉夹的钢钉上夹板的主视图;Fig. 9 is a front view of the steel nail upper splint of the buckle nail clip according to an embodiment of the present invention;

图10是根据本发明的实施例的卡扣钉夹的钢钉上夹板的侧视图;Fig. 10 is a side view of the steel nail upper splint of the buckle nail clip according to an embodiment of the present invention;

图11是根据本发明的实施例的卡扣钉夹的钢钉下夹板的主视图;Fig. 11 is the front view of the steel nail lower splint of the buckle nail clip according to an embodiment of the present invention;

图12是根据本发明的实施例的卡扣钉夹的钢钉下夹板的侧视图;Fig. 12 is a side view of the steel nail lower splint of the buckle nail clip according to an embodiment of the present invention;

图13是根据本发明的实施例的卡扣钉夹的带齿U槽夹块的主视图;Fig. 13 is a front view of the toothed U-groove clip block of the snap nail clip according to an embodiment of the present invention;

图14是根据本发明的实施例的卡扣钉夹的带齿U槽夹块的侧视图;Fig. 14 is a side view of the toothed U-groove clip block of the snap nail clip according to an embodiment of the present invention;

图15是根据本发明的实施例的卡扣钉夹的U槽夹块的主视图;Fig. 15 is a front view of the U-groove clamping block of the buckle nail clip according to an embodiment of the present invention;

图16是根据本发明的实施例的卡扣钉夹的U槽夹块的侧视图;Fig. 16 is a side view of the U-groove clamping block of the snap nail clip according to an embodiment of the present invention;

图17是根据本发明的实施例的凸形加压器的立体结构图;Fig. 17 is a three-dimensional structure diagram of a convex presser according to an embodiment of the present invention;

图18是根据本发明的实施例的正螺纹固定夹的分体结构图;Fig. 18 is a split structure diagram of a positive threaded fixing clip according to an embodiment of the present invention;

图19是根据本发明的实施例的反螺纹固定夹的分体结构图;Fig. 19 is a dissected structural view of a reverse threaded fixing clip according to an embodiment of the present invention;

图20是根据本发明的实施例的万向联夹的分体结构图;Fig. 20 is a split structure diagram of a universal joint clip according to an embodiment of the present invention;

图21是根据本发明的实施例的一个万向夹块的侧剖视图;Figure 21 is a side sectional view of a universal clamp block according to an embodiment of the present invention;

图22是根据本发明的实施例的一个万向夹块的主视图;Figure 22 is a front view of a universal clamp block according to an embodiment of the present invention;

图23是根据本发明的实施例的另一个万向夹块的侧剖视图;23 is a side sectional view of another universal clamp block according to an embodiment of the present invention;

图24是根据本发明的实施例的另一个万向夹块的主视图;Fig. 24 is a front view of another universal clamp block according to an embodiment of the present invention;

图25是根据本发明的实施例的方头万向钉夹的主视图;25 is a front view of a square head universal nail clip according to an embodiment of the present invention;

图26是根据本发明的实施例的方头万向钉夹的侧剖视图;26 is a side cross-sectional view of a square head cardan clip according to an embodiment of the present invention;

图27是根据本发明的实施例的方头万向钉夹的横剖视图;27 is a cross-sectional view of a square head universal nail clip according to an embodiment of the present invention;

图28是根据本发明的实施例的方头万向钉夹与万向联夹的安装关系图;Fig. 28 is an installation relationship diagram of a square head universal nail clip and a universal joint clip according to an embodiment of the present invention;

图29是根据本发明的实施例1和3的生理骨加压器的立体结构图;Fig. 29 is a three-dimensional structural view of the physiological bone pressurizer according to Embodiments 1 and 3 of the present invention;

图30是根据本发明的实施例的固定块剖视图;Fig. 30 is a cross-sectional view of a fixed block according to an embodiment of the present invention;

图31是图30的侧视图;Figure 31 is a side view of Figure 30;

图32是图30的俯视图;Figure 32 is a top view of Figure 30;

图33是根据本发明的实施例的调压块的剖视图;33 is a cross-sectional view of a pressure regulating block according to an embodiment of the present invention;

图34是图33的侧视图;Figure 34 is a side view of Figure 33;

图35是图33的俯视图;Figure 35 is a top view of Figure 33;

图36是根据本发明的实施例的生理骨加压器的剖面图;36 is a cross-sectional view of a physiological bone compressor according to an embodiment of the present invention;

图37是根据本发明的实施例的第三双杆联夹的分体结构图;Fig. 37 is a split structure diagram of a third double-bar clamp according to an embodiment of the present invention;

图38是根据本发明的实施例2的生理骨加压器的立体图;38 is a perspective view of a physiological bone pressurizer according to Embodiment 2 of the present invention;

图39是根据本发明的实施例的圆柱头万向钉夹与万向联夹的位置关系图;Fig. 39 is a positional diagram of the cylindrical head universal nail clip and the universal joint clip according to an embodiment of the present invention;

图40是根据本发明的实施例的圆柱头万向钉夹与万向联夹的安装关系图;Fig. 40 is an installation relationship diagram of a cylindrical head universal nail clip and a universal joint clip according to an embodiment of the present invention;

图41是根据本发明的实施例1的组合式多功能生理骨加压外固定支架的应用状态图;Fig. 41 is an application state diagram of the combined multifunctional physiological bone compression external fixation bracket according to Embodiment 1 of the present invention;

图42是根据本发明的实施例2的组合式多功能生理骨加压外固定支架的应用状态图(采用卡扣钉夹);Fig. 42 is an application state diagram of the combined multifunctional physiological bone compression external fixation bracket according to Embodiment 2 of the present invention (using buckle nail clips);

图43是术后可将凸形加压器部分拆下的结构示意图;Fig. 43 is a schematic diagram of the structure where the convex presser can be partially removed after surgery;

图44是术后可将生理骨加压器部分拆下的结构示意图;Fig. 44 is a schematic diagram of a structure in which the physiological bone presser can be partially removed after surgery;

图45是单独采用凸形加压器用于骨折治疗的示意图(采用方头万向钉夹);Fig. 45 is a schematic diagram of using a convex presser alone for fracture treatment (using a square head universal nail clip);

图46是根据本发明的实施例2的组合式多功能生理骨加压外固定支架的应用状态图(采用方头万向钉夹);Fig. 46 is an application state diagram of the combined multifunctional physiological bone compression external fixation bracket according to Embodiment 2 of the present invention (using a square head universal nail clip);

图47是单独采用凸形加压器用于骨折治疗的示意图(采用圆柱头万向钉夹);Fig. 47 is a schematic diagram of using a convex presser alone for fracture treatment (using a cylindrical head universal nail clip);

图48是根据本发明的实施例2的组合式多功能生理骨加压外固定支架的应用状态图(采用圆柱头万向钉夹);Fig. 48 is an application state diagram of the combined multifunctional physiological bone compression external fixation bracket according to Embodiment 2 of the present invention (using a cylindrical head universal nail clip);

图49是根据本发明的实施例3的组合式多功能生理骨加压外固定支架的应用状态图(采用卡扣钉夹);Fig. 49 is an application state diagram of the combined multifunctional physiological bone compression external fixation bracket according to Embodiment 3 of the present invention (using buckle nail clips);

图50是根据本发明的实施例2的组合式多功能生理骨加压外固定支架的应用状态图(采用圆柱头万向钉夹);Fig. 50 is an application state diagram of the combined multifunctional physiological bone compression external fixation bracket according to Embodiment 2 of the present invention (using a cylindrical head universal nail clip);

图51是单独采用凸形加压器用于骨折治疗的示意图(采用卡扣钉夹)。Fig. 51 is a schematic diagram of using a convex presser alone for fracture treatment (using a buckle nail clip).

具体实施方式Detailed ways

在下文中将结合附图对本发明的示范性实施例进行描述。为了清楚和简明起见,在说明书中并未描述实际实施方式的所有特征。然而,应该了解,在开发任何这种实际实施例的过程中必须做出很多特定于实施方式的决定,以便实现开发人员的具体目标,例如,符合与系统及业务相关的那些限制条件,并且这些限制条件可能会随着实施方式的不同而有所改变。此外,还应该了解,虽然开发工作有可能是非常复杂和费时的,但对得益于本发明公开内容的本领域技术人员来说,这种开发工作仅仅是例行的任务。Exemplary embodiments of the present invention will be described below with reference to the accompanying drawings. In the interest of clarity and conciseness, not all features of an actual implementation are described in this specification. It should be understood, however, that in developing any such practical embodiment, many implementation-specific decisions must be made in order to achieve the developer's specific goals, such as meeting those constraints related to the system and business, and those Restrictions may vary from implementation to implementation. Furthermore, it should be understood that development work, while potentially complex and time-consuming, would be a routine undertaking for those skilled in the art having the benefit of this disclosure.

在此,还需要说明的一点是,为了避免因不必要的细节而模糊了本发明,在附图中仅仅示出了与根据本发明的方案密切相关的装置结构和/或处理步骤,而省略了与本发明关系不大的其他细节。Here, it should also be noted that, in order to avoid obscuring the present invention due to unnecessary details, only the device structure and/or processing steps closely related to the solution according to the present invention are shown in the drawings, and the Other details not relevant to the present invention are described.

实施例1:组合式多功能生理骨加压骨外固定支架,包括第一碳纤维杆5、加固杆10、第二碳纤维杆27、第三碳纤维杆50、第一钉夹E、第二钉夹D、第三钉夹C、第一双杆联夹A、万向联夹B和凸形加压器和生理骨加压器;Embodiment 1: Combined multifunctional physiological bone compression bone external fixation bracket, including the first carbon fiber rod 5, the reinforcing rod 10, the second carbon fiber rod 27, the third carbon fiber rod 50, the first nail clip E, and the second nail clip D. The third nail clamp C, the first double-rod joint clamp A, the universal joint clamp B, the convex presser and the physiological bone presser;

所述第一碳纤维杆5、第三碳纤维杆50和第二碳纤维杆27水平同轴设置;加固杆10置于第一碳纤维杆5、第三碳纤维杆50和第二碳纤维杆27的下方,且与第一碳纤维杆5平行设置;加固杆10的端部分别通过一个第一双杆联夹A与第一碳纤维杆5和第二碳纤维杆27连接,加固杆10的中部通过一个第一双杆联夹与第三碳纤维杆50连接;第一碳纤维杆5和第三碳纤维杆50通过凸形加压器连接,第三碳纤维杆50和第二碳纤维杆27通过生理骨加压器连接;第一碳纤维杆5上安装有第一钉夹E,第三碳纤维杆50上通过万向联夹B安装有第三钉夹C,第二碳纤维杆27上通过万向联夹B安装有第二钉夹D。参见图5。The first carbon fiber rod 5, the third carbon fiber rod 50 and the second carbon fiber rod 27 are arranged horizontally and coaxially; the reinforcing rod 10 is placed under the first carbon fiber rod 5, the third carbon fiber rod 50 and the second carbon fiber rod 27, and Arranged in parallel with the first carbon fiber rod 5; the ends of the reinforcing rod 10 are respectively connected to the first carbon fiber rod 5 and the second carbon fiber rod 27 through a first double rod clamp A, and the middle part of the reinforcing rod 10 is connected through a first double rod The clamp is connected with the third carbon fiber rod 50; the first carbon fiber rod 5 and the third carbon fiber rod 50 are connected by a convex presser, and the third carbon fiber rod 50 and the second carbon fiber rod 27 are connected by a physiological bone presser; the first The first nail clamp E is installed on the carbon fiber rod 5, the third nail clamp C is installed on the third carbon fiber rod 50 through the universal joint clamp B, and the second nail clamp is installed on the second carbon fiber rod 27 through the universal joint clamp B d. See Figure 5.

对生理骨加压器进行设计(参见图29至图36):To design the Physiological Bone Compressor (see Figures 29 to 36):

所述生理骨加压器包括固定块17、调压块24、拉伸弹簧20、指针螺钉21、标尺外套筒22、内套筒23、动力螺钉25、螺杆19和第一短螺钉16;The physiological bone pressurizer includes a fixing block 17, a pressure regulating block 24, a tension spring 20, a pointer screw 21, a scale outer sleeve 22, an inner sleeve 23, a power screw 25, a screw rod 19 and a first short screw 16;

所述标尺外套筒22开口端与内套筒23开口端滑动套装,标尺外套筒22的筒底与固定块17的立板通过第一短螺钉16固定连接,内套筒23的筒底设置有与其一体成型的动力螺钉25,动力螺钉25与调压块24建立连接,动力螺钉25上设置有调压旋钮51,拉伸弹簧20设置在标尺外套筒22和内套筒23内,拉伸弹簧20的一端与标尺外套筒22通过螺杆19固定连接,标尺外套筒22与内套筒23重合部的壁面上开有长槽孔,长槽孔处刻制或安装有标尺,拉伸弹簧20的另一端通过指针螺钉21与内套筒23连接,指针螺钉21穿过长槽孔。固定块17、调压块24呈长方凸耳状。The opening end of the outer sleeve 22 of the scale and the opening end of the inner sleeve 23 are slidingly fitted, the bottom of the outer sleeve 22 of the scale is fixedly connected with the vertical plate of the fixed block 17 through the first short screw 16, and the bottom of the inner sleeve 23 A power screw 25 integrally formed with it is provided, and the power screw 25 is connected with the pressure regulating block 24. The power screw 25 is provided with a pressure regulating knob 51, and the tension spring 20 is arranged in the scale outer sleeve 22 and the inner sleeve 23. One end of the tension spring 20 is fixedly connected with the outer sleeve 22 of the scale through the screw rod 19, and the wall surface of the overlapping part of the outer sleeve 22 of the scale and the inner sleeve 23 is provided with a long slot, and a scale is engraved or installed at the slot. The other end of the tension spring 20 is connected with the inner sleeve 23 through the pointer screw 21, and the pointer screw 21 passes through the slotted hole. The fixing block 17 and the pressure regulating block 24 are in the shape of rectangular lugs.

对生理骨加压器进一步设计:Further design of the physiological bone compressor:

生理骨加压器还包括第一圆柱刻度尺31和顶丝33,固定块17和调压块24的上部开设有第一安装孔,两个第一安装孔之间安装第一圆柱刻度尺31,第一圆柱刻度尺31通过顶丝33与固定块17固定。The physiological bone pressurizer also includes a first cylindrical scale 31 and a top wire 33. The upper part of the fixing block 17 and the pressure regulating block 24 is provided with a first installation hole, and the first cylindrical scale 31 is installed between the two first installation holes. , the first cylindrical scale 31 is fixed to the fixed block 17 through the top wire 33 .

对生理骨加压器进一步设计:Further design of the physiological bone compressor:

所述固定块17和调压块24的上部还开设有第二安装孔,第二安装孔用于安装第三碳纤维杆50和第二碳纤维杆27,固定块17通过长螺杆18防止其沿第三碳纤维杆50的轴线发生转动;调压块24通过长螺杆18防止其沿第二碳纤维杆27的轴线发生转动。The top of the fixed block 17 and the pressure regulating block 24 also has a second installation hole, the second installation hole is used to install the third carbon fiber rod 50 and the second carbon fiber rod 27, the fixed block 17 prevents it from moving along the second carbon fiber rod 27 through the long screw rod 18. The axis of the third carbon fiber rod 50 rotates; the pressure regulating block 24 prevents it from rotating along the axis of the second carbon fiber rod 27 through the long screw rod 18 .

对凸形加压器进行设计:Design for a convex pressurizer:

所述凸形加压器包括正螺纹固定夹12、反螺纹固定夹15、双向调压螺杆14、第二双杆联夹11、第二圆柱刻度尺52;第一碳纤维杆5通过正螺纹固定夹12与双向调压螺杆14连接,第三碳纤维杆50通过反螺纹固定夹15与双向调压螺杆14连接,第一碳纤维杆5和第三碳纤维杆50的相邻端各通过一个第二双杆联夹11与第二圆柱刻度尺52连接。双向调压螺杆14一端攻有正螺纹,一端攻有反螺纹。参见图17。Described convex pressurizer comprises positive thread fixing clip 12, reverse thread fixing clip 15, two-way pressure regulating screw 14, the second double-rod joint clip 11, the second cylindrical scale 52; The first carbon fiber rod 5 is fixed by positive thread Clip 12 is connected with two-way pressure regulating screw rod 14, and the third carbon fiber rod 50 is connected with two-way pressure regulating screw rod 14 through reverse thread fixing clip 15, and the adjacent ends of the first carbon fiber rod 5 and the third carbon fiber rod 50 are each passed through a second double The rod clamp 11 is connected with the second cylindrical scale 52 . One end of two-way pressure regulating screw rod 14 is tapped with positive thread, and one end is tapped with reverse thread. See Figure 17.

对凸形加压器进一步设计:Further design of the convex pressurizer:

所述正螺纹固定夹12包括两个相对布置的正螺纹固定夹13;两个相对布置的正螺纹固定夹13的一端形成圆柱形孔道,用于安装第一碳纤维杆5;两个相对布置的正螺纹固定夹13的另一端内设置螺母,螺母与双向调压螺杆14正螺纹连接;螺母与任意一个正螺纹固定夹13制成一体;两个相对布置的正螺纹固定夹13中间设置压缩弹簧34,第二短螺钉8穿过压缩弹簧34将两个正螺纹固定夹13连接在一起。参见图18。The positive thread fixing clip 12 includes two oppositely arranged positive thread fixing clips 13; one end of the two oppositely arranged positive thread fixing clips 13 forms a cylindrical hole for installing the first carbon fiber rod 5; two oppositely arranged The other end of the positive thread fixing clip 13 is provided with a nut, and the nut is connected with the positive thread of the two-way pressure regulating screw rod 14; the nut is integrated with any one positive thread fixing clip 13; a compression spring is arranged in the middle of the two oppositely arranged positive thread fixing clips 13 34. The second short screw 8 passes through the compression spring 34 to connect the two positive thread fixing clips 13 together. See Figure 18.

所述反螺纹固定夹15包括两个相对布置的反螺纹固定夹53;两个相对布置的反螺纹固定夹53的一端形成圆柱形孔道,用于安装第三碳纤维杆50;两个相对布置的反螺纹固定夹53的另一端内设置螺母,螺母与双向调压螺杆14反螺纹连接;螺母与任意一个反螺纹固定夹53制成一体;两个相对布置的反螺纹固定夹53中间设置压缩弹簧34,第二短螺钉8穿过压缩弹簧34将两个反螺纹固定夹53连接在一起。参见图19。The reverse threaded fixing clip 15 comprises two oppositely arranged reversed threaded fixing clips 53; one end of the two oppositely arranged reversed threaded fixing clips 53 forms a cylindrical hole for installing the third carbon fiber rod 50; two oppositely arranged The other end of the anti-thread fixing clip 53 is provided with a nut, and the nut is connected with the reverse thread of the two-way pressure regulating screw 14; the nut is integrated with any one of the anti-thread fixing clips 53; a compression spring is arranged in the middle of the two oppositely arranged anti-thread fixing clips 53 34. The second short screw 8 passes through the compression spring 34 to connect the two anti-thread fixing clips 53 together. See Figure 19.

所述第二双杆联夹11包括两个相对布置的加固夹块9;两个相对布置的加固夹块9的两端均形成圆柱形孔道;两个相对布置的加固夹块9中部通过第二短螺钉8连接在一起;位于上部的圆柱形孔道用于安装第二圆柱刻度尺52;位于下部的圆柱形孔道用于连接第一碳纤维杆5和第三碳纤维杆50。参见图8。The second double-bar clamp 11 includes two oppositely arranged reinforcing clips 9; both ends of the two oppositely arranged reinforcing clips 9 form cylindrical channels; the middle of the two oppositely arranged reinforcing clips 9 passes through the first Two short screws 8 are connected together; the upper cylindrical hole is used to install the second cylindrical scale 52 ; the lower cylindrical hole is used to connect the first carbon fiber rod 5 and the third carbon fiber rod 50 . See Figure 8.

所述第一双杆联夹A与第二双杆联夹11结构相同,位于上部的圆柱形孔道用于安装第一碳纤维杆5和第二碳纤维杆27;位于下部的圆柱形孔道用于安装加固杆10。参见图5和图8。The first double-bar clamp A has the same structure as the second double-bar clamp 11, the upper cylindrical hole is used to install the first carbon fiber rod 5 and the second carbon fiber rod 27; the lower cylindrical hole is used to install Reinforcement rod 10. See Figures 5 and 8.

对第一钉夹E进行设计:Design the first nail clip E:

所述第一钉夹E为卡扣钉夹,所述卡扣钉夹包括卡扣螺钉1、钢钉上夹板2、钢钉下夹板3、钉夹弹簧54、带齿U槽夹块6、U槽夹块7和小螺钉55,卡扣螺钉1的下端依次穿过钢钉上夹板2、钢钉下夹板3、钉夹弹簧54、带齿U槽夹块6和U槽夹块7后与小螺钉55建立联接,所述钢钉下夹板3和钢钉上夹板2的接触面上设有钢钉槽,带齿U槽夹块6和U槽夹块7的接触面上均设有U形槽,U形槽组合后用于安装第一碳纤维杆5,所述钢钉下夹板3的下表面和带齿U槽夹块6的上表面均为齿状面。参加图6、图7、图9-图16。The first nail clip E is a buckle nail clip, and the snap nail clip includes a snap screw 1, a steel nail upper splint 2, a steel nail lower splint 3, a nail clip spring 54, a toothed U-groove clip 6, U-groove clamping block 7 and small screw 55, the lower end of buckle screw 1 passes through steel nail upper splint 2, steel nail lower splint 3, nail clip spring 54, toothed U-groove clamping block 6 and U-groove clamping block 7 in sequence Connect with the small screw 55, the steel nail groove is provided on the contact surface of the steel nail lower splint 3 and the steel nail upper splint 2, and the contact surface of the toothed U groove clamp block 6 and the U groove clamp block 7 is provided with U-shaped groove, the U-shaped groove is used for installing the first carbon fiber rod 5 after being combined, and the lower surface of the lower splint 3 of the steel nail and the upper surface of the toothed U-groove clamp block 6 are toothed surfaces. See Figure 6, Figure 7, Figure 9-16.

对第二钉夹D进行设计:所述第二钉夹D为圆柱头万向钉夹。参见图39和图40。Design the second nail clip D: the second nail clip D is a cylindrical head universal nail clip. See Figure 39 and Figure 40.

对第三钉夹C进行设计:所述第三钉夹C为方头万向钉夹。参见图20、图25-28。Design the third nail clip C: the third nail clip C is a square head universal nail clip. See Figure 20, Figures 25-28.

对万向联夹B进行设计(参见图20-图24,图39):Design the universal clamp B (see Figure 20-Figure 24, Figure 39):

所述万向联夹B包括两个相对布置的万向夹块28;两个相对布置的万向夹块28的一端均形成圆柱形孔道,圆柱形孔道用于安装第三碳纤维杆50;两个相对布置的万向夹块28的另一端均形成球形孔道,球形孔道用于连接圆柱头万向钉夹和/或方头万向钉夹。The universal clamp B includes two oppositely arranged universal clamp blocks 28; one end of the two oppositely arranged universal clamp blocks 28 forms a cylindrical tunnel, and the cylindrical tunnel is used to install the third carbon fiber rod 50; The other ends of the two oppositely arranged universal clamp blocks 28 all form a spherical hole, which is used to connect the cylindrical head universal nail clip and/or the square head universal nail clip.

实施例1尤其适用于多段骨折,横行骨折与骨折不愈合类的多段骨折,参见图41。Embodiment 1 is especially suitable for multi-segment fractures, multi-segment fractures such as transverse fractures and nonunions, see FIG. 41 .

以股骨多段骨折为例,股骨下1/3横行骨折,股骨上1/3骨折不愈合,使用步骤如下:Taking the multi-segment femur fracture as an example, the lower 1/3 of the femur is transversely fractured, and the upper 1/3 of the femur is nonunioned. The steps are as follows:

根据股骨多段骨折部位、类型,做使用前准备,在手术前将凸形加压器组装在横行骨折骨加压部位,将生理骨加压器组装在骨折不愈合需要生理骨加压部位。根据男、女、肌肉发育强弱,拧转动力螺钉,把标尺指针移动到7KG位置(每1小刻度是1mm,加压重量1KG)备用,按外固定常规方法在下1/3骨折段,中1/3骨折段,上1/3骨折段分别备拧入骨钉,股骨远端两根骨钉,尾部置入卡扣钉夹,用L扳拧紧卡扣螺钉固定骨钉,把中段骨折段的两个骨钉尾部插入方形万向钉夹并固定,在股骨近端骨折段的两个骨钉尾部插入圆柱形万向钉夹并固定。整体外固定支架组装完成。然后分别进行骨断端加压,用L扳松动反螺纹固定夹上的第二短螺钉,用直杆插入双向调压螺杆中间孔,逆时针扳转,使碳素限位杆向横形骨折断端移动,同时使骨钉带动近端骨折段向横形骨折端移动,用肉眼观察骨横形骨折线闭合无缝隙,拨动骨断端不松动,立即拧紧反螺纹固定夹上的第二短螺钉,固定完成骨加压。然后实施股骨上1/3骨折不愈合生理骨加压,方法是用L扳拧松调压块上的长螺钉,拉伸弹簧拉动指针螺钉由之前的7KG回缩到3KG,带动碳素纤维杆及万向钉夹,骨钉连接的近端骨折段向骨折断面移动,骨折断面吻合,骨加压指针螺钉指针保持在3KG停止,3KG生理压应力,作用在骨断端,骨痂形成,维持到骨折愈合。According to the location and type of multi-segment femoral fractures, prepare before use. Before the operation, assemble the convex pressurizer on the bone pressurization part of the transverse fracture, and assemble the physiological bone pressor on the part where the fracture nonunion needs physiological bone pressurization. According to the strength of male, female, and muscle development, turn the power screw, move the pointer of the scale to the position of 7KG (each small scale is 1mm, pressurized weight 1KG) for standby, and use external fixation methods in the lower 1/3 of the fracture segment, the middle 1/3 of the fracture segment and the upper 1/3 of the fracture segment are prepared to be screwed into bone screws respectively. Two bone screws at the distal end of the femur are inserted into the nail clips at the tail. Tighten the snap screws with an L wrench to fix the bone screws. The tails of the two bone screws were inserted into the square universal nail clip and fixed, and the tails of the two bone nails were inserted into the cylindrical universal nail clip and fixed in the fractured segment of the proximal femur. The overall external fixation bracket is assembled. Then pressurize the broken ends of the bone respectively, loosen the second short screw on the anti-threaded fixing clip with an L wrench, insert a straight rod into the middle hole of the two-way pressure-regulating screw, and turn it counterclockwise to make the carbon limit rod break toward the transverse fracture At the same time, the bone nail drives the proximal fracture segment to move to the transverse fracture end. Observe with the naked eye that the transverse fracture line of the bone is closed without gaps, and the broken end of the bone is not loose. Tighten the second short screw on the anti-thread fixing clip immediately. Fixation completes bone compression. Then apply physiological bone compression on the upper 1/3 of the femoral nonunion fracture. The method is to use the L wrench to loosen the long screw on the pressure regulating block, and the tension spring pulls the pointer screw back from the previous 7KG to 3KG, driving the carbon fiber rod And the universal nail clip, the proximal fracture segment connected by the bone nail moves to the fracture section, the fracture section is anastomosed, the bone compression pointer screw pointer is kept at 3KG to stop, and the 3KG physiological compressive stress acts on the broken bone, and the callus is formed and maintained. to fracture healing.

实施例2:组合式多功能生理骨加压骨外固定支架,包括第一碳纤维杆5、加固杆10、第二碳纤维杆27、第一钉夹E、第一双杆联夹A和生理骨加压器;Embodiment 2: Combined multifunctional physiological bone compression bone external fixation bracket, including the first carbon fiber rod 5, the reinforcing rod 10, the second carbon fiber rod 27, the first nail clip E, the first double-rod joint clip A and the physiological bone pressurizer;

所述第一碳纤维杆5和第二碳纤维杆27水平同轴设置;加固杆10置于第一碳纤维杆5和第二碳纤维杆27的下方,且与第一碳纤维杆5平行设置;加固杆10的端部分别通过一个第一双杆联夹A与第一碳纤维杆5和第二碳纤维杆27连接;第一碳纤维杆5和第二碳纤维杆27通过生理骨加压器连接;第一碳纤维杆5和第二碳纤维杆27上安装有第一钉夹E。参见图42。The first carbon fiber rod 5 and the second carbon fiber rod 27 are arranged horizontally and coaxially; the reinforcing rod 10 is placed below the first carbon fiber rod 5 and the second carbon fiber rod 27 and arranged parallel to the first carbon fiber rod 5; the reinforcing rod 10 The ends of each are connected to the first carbon fiber rod 5 and the second carbon fiber rod 27 through a first double-rod clamp A; the first carbon fiber rod 5 and the second carbon fiber rod 27 are connected by a physiological bone presser; the first carbon fiber rod 5 and the second carbon fiber rod 27 are equipped with the first nail clip E. See Figure 42.

对生理骨加压器进行设计(参见图38):Design the Physiological Bone Compressor (see Figure 38):

所述生理骨加压器包括第三双杆联夹35、拉伸弹簧20、指针螺钉21、标尺外套筒22、内套筒23、动力螺钉25、螺杆和第一短螺钉16;The physiological bone pressurizer includes a third double-bar clamp 35, a tension spring 20, a pointer screw 21, a scale outer sleeve 22, an inner sleeve 23, a power screw 25, a screw rod and the first short screw 16;

所述标尺外套筒22开口端与内套筒23开口端滑动套装,标尺外套筒22的筒底与一个第三双杆联夹35通过第一短螺钉16连接,内套筒23的筒底设置有与其一体成型的动力螺钉25,动力螺钉25与另一个第三双杆联夹35螺纹连接,动力螺钉25上设置有调压旋钮51,拉伸弹簧20设置在标尺外套筒22和内套筒23内,拉伸弹簧20的一端与标尺外套筒22通过螺杆固定连接,标尺外套筒22与内套筒23重合部的壁面上开有长槽孔,长槽孔处刻制或安装有标尺,拉伸弹簧20的另一端通过指针螺钉21与内套筒23连接,指针螺钉21穿过长槽孔;第三双杆联夹35的上部连接第一碳纤维杆5和第二碳纤维杆27;生理骨加压器还包括第一圆柱刻度尺31和第二双杆联夹11,第二双杆联夹11的上部安装第一圆柱刻度尺31,第二双杆联夹11的下部安装第一碳纤维杆5和第二碳纤维杆27。The opening end of the outer sleeve 22 of the scale is slidingly fitted with the opening end of the inner sleeve 23, the bottom of the outer sleeve 22 of the scale is connected with a third double-rod clamp 35 through the first short screw 16, and the sleeve of the inner sleeve 23 The bottom is provided with a power screw 25 integrally formed with it, and the power screw 25 is threadedly connected with another third double-bar clamp 35. The power screw 25 is provided with a pressure regulating knob 51, and the tension spring 20 is arranged on the scale outer sleeve 22 and In the inner sleeve 23, one end of the tension spring 20 is fixedly connected with the scale outer sleeve 22 by a screw, and the wall surface of the overlapping part of the scale outer sleeve 22 and the inner sleeve 23 has a long slot hole, and the long slot hole is engraved Or a scale is installed, and the other end of the tension spring 20 is connected with the inner sleeve 23 by the pointer screw 21, and the pointer screw 21 passes through the slotted hole; Carbon fiber rod 27; the physiological bone pressurizer also includes a first cylindrical scale 31 and a second double-bar link clamp 11, the first cylindrical scale 31 is installed on the top of the second double-bar link clamp 11, and the second double-bar link clamp 11 The bottom of the first carbon fiber rod 5 and the second carbon fiber rod 27 are installed.

第三双杆联夹35包括两个相对布置的半片夹30;两个相对布置的半片夹30的一端形成圆柱形孔道,用于安装第一碳纤维杆5或第二碳纤维杆27;两个相对布置的半片夹30的另一端内设置螺母,螺母与动力螺钉25螺纹连接;螺母与任意一个半片夹30制成一体;两个相对布置的半片夹30中间设置压缩弹簧34,第二短螺钉8穿过压缩弹簧34将两个半片夹30连接在一起。参见图37。The 3rd double-bar joint folder 35 comprises two oppositely arranged half-sheet clips 30; one end of the two oppositely arranged half-sheet clips 30 forms a cylindrical hole for installing the first carbon fiber rod 5 or the second carbon fiber rod 27; The other end of the arranged half clip 30 is provided with a nut, which is threadedly connected with the power screw 25; the nut is made into one with any half clip 30; a compression spring 34 is arranged in the middle of two oppositely arranged half clips 30, and the second short screw 8 The two clip halves 30 are connected together through a compression spring 34 . See Figure 37.

实施例2中的第一钉夹E的具体结构与实施例1中相同;另外第一钉夹E可采用实施例1中的万向联夹B与第三钉夹C组合替换,或者第一钉夹E可采用实施例1中的万向联夹B与第二钉夹D组合替换。参见图46和图48。The specific structure of the first nail clip E in embodiment 2 is the same as in embodiment 1; in addition, the first nail clip E can be replaced by the combination of the universal joint clip B and the third nail clip C in embodiment 1, or the first nail clip E The nail clip E can be replaced by a combination of the universal joint clip B and the second nail clip D in Embodiment 1. See Figure 46 and Figure 48.

实施例2尤其适用于治疗斜形骨折,术后可将生理骨加压器拆下,便于携带,方便生活。参见图42和图44。Embodiment 2 is especially suitable for treating oblique fractures, and the physiological bone pressor can be removed after operation, which is convenient for carrying and life. See Figure 42 and Figure 44.

使用方法:以胫骨中1/3斜形骨折不愈合为例,首先骨折复位,用持骨钳夹紧骨折断端,固定骨断端,然后再胫骨骨折远端和近端插入骨钉,分析确定骨断端生理压应力为3KG,用L扳逆时针转动动力螺钉,把指针螺钉移动在6KG标尺刻度位置,然后固定已插入的骨钉,拧松第三双杆联夹上的第二短螺钉,使碳纤维杆向骨断端移动,骨钉带动骨折段同向移动,骨断端生理压应力达到3KG时,停止移动拧紧第三双杆联夹上的第二短螺钉松开持骨钳,生理骨加压完成。Method of use: Taking the nonunion of the oblique fracture of the middle tibia as an example, firstly the fracture is reduced, the broken end of the fracture is clamped with bone forceps, and the broken end of the bone is fixed, and then bone nails are inserted into the distal and proximal ends of the tibial fracture for analysis. Make sure that the physiological compressive stress of the bone stump is 3KG, turn the power screw counterclockwise with the L wrench, move the pointer screw to the scale position of 6KG, then fix the inserted bone screw, and loosen the second short pin on the third double-bar clamp. screw to move the carbon fiber rod to the broken end of the bone, and the bone nail drives the fractured segment to move in the same direction. When the physiological compressive stress on the broken end of the bone reaches 3KG, stop moving and tighten the second short screw on the third double-bar clamp to loosen the bone holder , Physiological bone compression is completed.

实施例3:组合式多功能生理骨加压骨外固定支架,包括第一碳纤维杆5、加固杆10、第二碳纤维杆27、第一钉夹E、第一双杆联夹A和生理骨加压器;Embodiment 3: Combined multifunctional physiological bone compression bone external fixation bracket, including the first carbon fiber rod 5, the reinforcing rod 10, the second carbon fiber rod 27, the first nail clip E, the first double-rod joint clip A and the physiological bone pressurizer;

所述第一碳纤维杆5和第二碳纤维杆27水平同轴设置;加固杆10置于第一碳纤维杆5和第二碳纤维杆27的下方,且与第一碳纤维杆5平行设置;加固杆10的端部分别通过一个第一双杆联夹A与第一碳纤维杆5和第二碳纤维杆27连接;第一碳纤维杆5和第二碳纤维杆27通过生理骨加压器连接;第一碳纤维杆5和第二碳纤维杆27上安装有第一钉夹E;生理骨加压器包括固定块17、调压块24、拉伸弹簧20、指针螺钉21、标尺外套筒22、内套筒23、动力螺钉25、螺杆和第一短螺钉16;The first carbon fiber rod 5 and the second carbon fiber rod 27 are arranged horizontally and coaxially; the reinforcing rod 10 is placed below the first carbon fiber rod 5 and the second carbon fiber rod 27 and arranged parallel to the first carbon fiber rod 5; the reinforcing rod 10 The ends of each are connected to the first carbon fiber rod 5 and the second carbon fiber rod 27 through a first double-rod clamp A; the first carbon fiber rod 5 and the second carbon fiber rod 27 are connected by a physiological bone presser; the first carbon fiber rod 5 and the second carbon fiber rod 27 are equipped with the first nail clamp E; the physiological bone pressurizer includes a fixed block 17, a pressure regulating block 24, a tension spring 20, a pointer screw 21, a scale outer sleeve 22, and an inner sleeve 23 , power screw 25, screw rod and first short screw 16;

所述标尺外套筒22开口端与内套筒23开口端滑动套装,标尺外套筒22的筒底与固定块17的立板通过第一短螺钉16固定连接,内套筒23的筒底设置有与其一体成型的动力螺钉25,动力螺钉25与调压块24建立连接,动力螺钉25上设置有调压旋钮51,拉伸弹簧20设置在标尺外套筒22和内套筒23内,拉伸弹簧20的一端与标尺外套筒22通过螺杆固定连接,标尺外套筒22与内套筒23重合部的壁面上开有长槽孔,长槽孔处刻制或安装有标尺,拉伸弹簧20的另一端通过指针螺钉21与内套筒23连接,指针螺钉21穿过长槽孔。参见图49。The opening end of the outer sleeve 22 of the scale and the opening end of the inner sleeve 23 are slidingly fitted, the bottom of the outer sleeve 22 of the scale is fixedly connected with the vertical plate of the fixed block 17 through the first short screw 16, and the bottom of the inner sleeve 23 A power screw 25 integrally formed with it is provided, and the power screw 25 is connected with the pressure regulating block 24. The power screw 25 is provided with a pressure regulating knob 51, and the tension spring 20 is arranged in the scale outer sleeve 22 and the inner sleeve 23. One end of the tension spring 20 is fixedly connected with the scale outer sleeve 22 by a screw rod, and the wall surface of the overlapping portion of the scale outer sleeve 22 and the inner sleeve 23 has a long slot hole, and a scale is engraved or installed at the slot hole, and the pull The other end of the extension spring 20 is connected with the inner sleeve 23 through the pointer screw 21, and the pointer screw 21 passes through the slotted hole. See Figure 49.

对生理骨加压器进一步设计:Further design of the physiological bone compressor:

生理骨加压器还包括第一圆柱刻度尺31和顶丝33,固定块17和调压块24的上部开设有第一安装孔,两个第一安装孔之间安装第一圆柱刻度尺31,第一圆柱刻度尺31通过顶丝33与固定块17固定。参见图49。The physiological bone pressurizer also includes a first cylindrical scale 31 and a top wire 33. The upper part of the fixing block 17 and the pressure regulating block 24 is provided with a first installation hole, and the first cylindrical scale 31 is installed between the two first installation holes. , the first cylindrical scale 31 is fixed to the fixed block 17 through the top wire 33 . See Figure 49.

对生理骨加压器进一步设计:Further design of the physiological bone compressor:

所述固定块17和调压块24的上部还开设有第二安装孔,第二安装孔用于安装第一碳纤维杆5和第二碳纤维杆27,固定块17通过长螺杆18防止其沿第一碳纤维杆5的轴线发生转动;调压块24通过长螺杆18防止其沿第二碳纤维杆27的轴线发生转动。参见图49。The top of the fixed block 17 and the pressure regulating block 24 is also provided with a second mounting hole, the second mounting hole is used to install the first carbon fiber rod 5 and the second carbon fiber rod 27, the fixed block 17 prevents it from moving along the first carbon fiber rod 5 through the long screw rod 18. The axis of a carbon fiber rod 5 rotates; the pressure regulating block 24 prevents it from rotating along the axis of the second carbon fiber rod 27 through the long screw rod 18 . See Figure 49.

实施例3中的第一钉夹E的具体结构与实施例1中相同;另外第一钉夹E可采用实施例1中的万向联夹B与第三钉夹C组合替换,或者第一钉夹E可采用实施例1中的万向联夹B与第二钉夹D组合替换。参见图50。The specific structure of the first nail clip E in embodiment 3 is the same as that in embodiment 1; in addition, the first nail clip E can be replaced by the combination of universal joint clip B and the third nail clip C in embodiment 1, or the first nail clip E The nail clip E can be replaced by a combination of the universal joint clip B and the second nail clip D in Embodiment 1. See Figure 50.

本发明的方案还可以采用凸形加压器进行骨加压治疗骨折,参见图45、图47和图51,尤其适用于横形骨折(稳定性骨折)治疗,术后可将凸形加压器部分拆下,参见图43,方便携带,生活更方便。使用方法:以胫骨中1/3横形骨折为例,首先骨折复位,然后在胫骨骨折远端和近端钻孔拧入骨钉,然后将骨钉尾部固定在固定夹内,用L扳松动反螺纹固定夹上的第二短螺钉,用直杆插入双向调压螺杆中间孔,逆时针扳转,使碳素限位杆向横形骨折断端移动,同时使骨钉带动近端骨折段向横形骨折端移动,用肉眼观察骨横形骨折线闭合无缝隙,拨动骨断端不松动,立即拧紧反螺纹固定夹上的第二短螺钉,固定完成骨加压。缺点是不知道骨折断端吻合后的压应力,不知道压应力数值。The scheme of the present invention can also use a convex presser to treat fractures with bone compression, see Figure 45, Figure 47 and Figure 51, especially for the treatment of transverse fractures (stable fractures), the convex presser can be used after surgery Partially removed, see Figure 43, it is easy to carry and life is more convenient. How to use: Take the middle 1/3 transverse fracture of the tibia as an example. First, the fracture is reduced, and then the bone nail is screwed into the distal and proximal ends of the tibial fracture, and then the tail of the bone nail is fixed in the fixing clip, and the anti-thread is loosened with an L wrench. The second short screw on the fixing clip is inserted into the middle hole of the two-way pressure-regulating screw with a straight rod, and turned counterclockwise to move the carbon limit rod to the fracture end of the transverse fracture, and at the same time, the bone nail drives the proximal fracture segment to the transverse fracture Move the end of the bone, observe with the naked eye that the transverse fracture line of the bone is closed without gaps, move the broken end of the bone without loosening, immediately tighten the second short screw on the reverse thread fixing clip, and fix the bone to complete the compression. The disadvantage is that the compressive stress after the anastomosis of the fracture ends is not known, and the value of the compressive stress is not known.

虽然本发明所揭示的实施方式如上,但其内容只是为了便于理解本发明的技术方案而采用的实施方式,并非用于限定本发明。任何本发明所属技术领域内的技术人员,在不脱离本发明所揭示的核心技术方案的前提下,可以在实施的形式和细节上做任何修改与变化,但本发明所限定的保护范围,仍须以所附的权利要求书限定的范围为准。Although the embodiments disclosed in the present invention are as above, the content thereof is only for the convenience of understanding the technical solutions of the present invention, and is not intended to limit the present invention. Anyone skilled in the technical field to which the present invention belongs can make any modifications and changes in the form and details of implementation without departing from the core technical solution disclosed in the present invention, but the scope of protection defined by the present invention remains The scope defined by the appended claims shall prevail.

Claims (8)

  1. The external fixed support for bone 1. multifunctional assembled physiological bone is pressurizeed, including the first carbon fiber bar (5), reinforcing bar (10), second Carbon fiber bar (27), the 3rd carbon fiber bar (50), the first nail clip (E), the second nail clip (D), the 3rd nail clip (C), the first double-rod connection Press from both sides (A), universal folder (B), convex pressurizer and physiological bone pressurizer, the first carbon fiber bar (5), the 3rd carbon fiber bar (50) it is coaxially disposed with second carbon fiber bar (27) level;Reinforcing bar (10) is placed in the first carbon fiber bar (5), the 3rd carbon fiber bar (50) and the second carbon fiber bar (27) lower section, and be arranged in parallel with the first carbon fiber bar (5);The end difference of reinforcing bar (10) It is connected by the first double-rod connection folder (A) with the first carbon fiber bar (5) and the second carbon fiber bar (27), in reinforcing bar (10) Portion is connected by the first double-rod connection folder with the 3rd carbon fiber bar (50);The first nail clip is installed on first carbon fiber bar (5) (E) the 3rd nail clip (C), is provided with by universal folder (B) on the 3rd carbon fiber bar (50), passed through on the second carbon fiber bar (27) Universal folder (B) is provided with the second nail clip (D);First carbon fiber bar (5) and the 3rd carbon fiber bar (50) pass through convex pressurizer Connection, the 3rd carbon fiber bar (50) are connected with the second carbon fiber bar (27) by physiological bone pressurizer;
    The physiological bone pressurizer includes fixed block (17), pressure regulation block (24), extension spring (20), pointer screw (21), scale Outer sleeve (22), inner sleeve (23), dynamic screw (25), screw rod (19) and the first short screw (16);
    Scale outer sleeve (22) openend and inner sleeve (23) openend, which are slided, to be set with, the cylinder bottom of scale outer sleeve (22) with The riser of fixed block (17) is fixedly connected by the first short screw (16), and the cylinder bottom of inner sleeve (23) is provided with to be integrally formed with it Dynamic screw (25), dynamic screw (25) and pressure regulation block (24), which are established, to be connected, and dynamic screw is provided with adjusting pressuring knob on (25) (51), extension spring (20) is arranged in scale outer sleeve (22) and inner sleeve (23), one end of extension spring (20) and scale Outer sleeve (22) is fixedly connected by screw rod (19), and scale outer sleeve (22) on the wall of inner sleeve (23) coincidence part with being provided with length Slotted eye, scale is scribed or is provided with long slot bore, the other end of extension spring (20) passes through pointer screw (21) and inner sleeve (23) connect, pointer screw (21) passes through long slot bore.
  2. 2. multifunctional assembled physiological bone pressurization external fixed support for bone according to claim 1, it is characterised in that:The life Reason bone pressurizer also includes the first cylinder graduated scale (31) and jackscrew (33), and the top of fixed block (17) and pressure regulation block (24) opens up There is the first mounting hole, the first cylinder graduated scale (31) is installed between two the first mounting holes, the first cylinder graduated scale (31) passes through Jackscrew (33) is fixed with fixed block (17).
  3. 3. multifunctional assembled physiological bone pressurization external fixed support for bone according to claim 2, it is characterised in that:It is described solid The top for determining block (17) and pressure regulation block (24) is further opened with the second mounting hole, and the second mounting hole is used to install the 3rd carbon fiber bar (50) and the second carbon fiber bar (27), fixed block (17) prevent its axis along the 3rd carbon fiber bar (50) by long bolt (18) Rotate;Pressure regulation block (24) prevents its axis along the second carbon fiber bar (27) from rotating by long bolt (18).
  4. 4. multifunctional assembled physiological bone pressurization external fixed support for bone according to claim 1, it is characterised in that:It is described convex Shape pressurizer includes plus thread geometrical clamp (12), left-hand thread geometrical clamp (15), bidirectional pressure regulating screw rod (14), the second double-rod connection folder (11), the second cylinder graduated scale (52);First carbon fiber bar (5) passes through plus thread geometrical clamp (12) and bidirectional pressure regulating screw rod (14) Connection, the 3rd carbon fiber bar (50) are connected by left-hand thread geometrical clamp (15) with bidirectional pressure regulating screw rod (14), the first carbon fiber bar (5) and the abutting end of the 3rd carbon fiber bar (50) respectively passes through second double-rod connection folder (11) with the second cylinder graduated scale (52) even Connect.
  5. 5. multifunctional assembled physiological bone pressurization external fixed support for bone according to claim 4, it is characterised in that:It is described just The folder (12) that is screwed includes two plus thread geometrical clamps (13) positioned opposite;Two plus thread geometrical clamps positioned opposite (13) one end forms cylindrical bore, for installing the first carbon fiber bar (5);Two plus thread geometrical clamps positioned opposite (13) nut is set in the other end, and nut is connected with bidirectional pressure regulating screw rod (14) plus thread;Nut and any one plus thread Geometrical clamp (13) is formed integrally;Compression spring (34) is set among two plus thread geometrical clamps (13) positioned opposite, second is short Screw (8) links together two plus thread geometrical clamps (13) through compression spring (34);The left-hand thread geometrical clamp (15) Including two left-hand thread geometrical clamps (53) positioned opposite;One end of two left-hand thread geometrical clamps (53) positioned opposite forms circle Cylindricality duct, for installing the 3rd carbon fiber bar (50);Set in the other end of two left-hand thread geometrical clamps (53) positioned opposite Nut is put, nut is connected with bidirectional pressure regulating screw rod (14) left-hand thread;Nut is made one with any one left-hand thread geometrical clamp (53) Body;Compression spring (34) is set among two left-hand thread geometrical clamps (53) positioned opposite, and the second short screw (8) passes through compression bullet Spring (34) links together two left-hand thread geometrical clamps (53);Second double-rod connection folder (11) include two it is positioned opposite Reinforce fixture block (9);The both ends of two reinforcing fixture blocks (9) positioned opposite are respectively formed cylindrical bore;Two it is positioned opposite plus Gu linked together in the middle part of fixture block (9) by the second short screw (8);Superposed cylindrical bore is used to install the second cylinder Graduated scale (52);Cylindrical bore positioned at bottom is used to connect the first carbon fiber bar (5) and the 3rd carbon fiber bar (50);It is described First double-rod connection folder (A) is identical with the second double-rod connection folder (11) structure, and superposed cylindrical bore is used to install the first carbon Fiber rod (5) and the second carbon fiber bar (27);Cylindrical bore positioned at bottom is used to install reinforcing bar (10).
  6. 6. multifunctional assembled physiological bone pressurization external fixed support for bone according to claim 5, it is characterised in that:Described ten thousand Include two universal fixture blocks (28) positioned opposite to connection folder (B);The equal shape in one end of two universal fixture blocks (28) positioned opposite Into cylindrical bore, cylindrical bore is used to install the 3rd carbon fiber bar (50);Two universal fixture blocks (28) positioned opposite The other end is respectively formed spherical duct, and spherical duct is used for the universal nail clip of connecting cylinder head or the universal nail clip of square toes.
  7. The external fixed support for bone 7. multifunctional assembled physiological bone is pressurizeed, it includes the first carbon fiber bar (5), reinforcing bar (10), the Two carbon fiber bars (27), the first nail clip (E), the first double-rod connection folder (A) and physiological bone pressurizer;
    The first carbon fiber bar (5) and second carbon fiber bar (27) level are coaxially disposed;Reinforcing bar (10) is placed in the first carbon fibre The lower section of bar (5) and the second carbon fiber bar (27) is tieed up, and is be arranged in parallel with the first carbon fiber bar (5);The end of reinforcing bar (10) It is connected respectively by the first double-rod connection folder (A) with the first carbon fiber bar (5) and the second carbon fiber bar (27);First carbon fiber Bar (5) is connected with the second carbon fiber bar (27) by physiological bone pressurizer;First carbon fiber bar (5) and the second carbon fiber bar (27) On the first nail clip (E) is installed;
    The physiological bone pressurizer includes the 3rd double-rod connection folder (35), extension spring (20), pointer screw (21), scale outer sleeve (22), inner sleeve (23), dynamic screw (25), screw rod and the first short screw (16);
    Scale outer sleeve (22) openend and inner sleeve (23) openend, which are slided, to be set with, the cylinder bottom of scale outer sleeve (22) with One the 3rd double-rod connection folder (35) is connected by the first short screw (16), and the cylinder bottom of inner sleeve (23) is provided with to be integrally formed with it Dynamic screw (25), dynamic screw (25) and another the 3rd double-rod join folder (35) and be threadedly coupled, and dynamic screw is set on (25) Adjusting pressuring knob (51) is equipped with, extension spring (20) is arranged in scale outer sleeve (22) and inner sleeve (23), extension spring (20) One end be fixedly connected with scale outer sleeve (22) by screw rod, the wall of scale outer sleeve (22) and inner sleeve (23) coincidence part On be provided with long slot bore, scribe or be provided with scale at long slot bore, the other end of extension spring (20) by pointer screw (21) with Inner sleeve (23) connects, and pointer screw (21) passes through long slot bore;The top of 3rd double-rod connection folder (35) connects the first carbon fiber bar And the second carbon fiber bar (27) (5);Physiological bone pressurizer also includes the first cylinder graduated scale (31) and the second double-rod connection folder (11), The first cylinder graduated scale (31) is installed on the top of second double-rod connection folder (11), and the first carbon is installed in the bottom of the second double-rod connection folder (11) Fiber rod (5) and the second carbon fiber bar (27).
  8. The external fixed support for bone 8. multifunctional assembled physiological bone is pressurizeed, it is characterised in that:Including the first carbon fiber bar (5), reinforce Bar (10), the second carbon fiber bar (27), the first nail clip (E), the first double-rod connection folder (A) and physiological bone pressurizer;
    The first carbon fiber bar (5) and second carbon fiber bar (27) level are coaxially disposed;Reinforcing bar (10) is placed in the first carbon fibre The lower section of bar (5) and the second carbon fiber bar (27) is tieed up, and is be arranged in parallel with the first carbon fiber bar (5);The end of reinforcing bar (10) It is connected respectively by the first double-rod connection folder (A) with the first carbon fiber bar (5) and the second carbon fiber bar (27);First carbon fiber Bar (5) is connected with the second carbon fiber bar (27) by physiological bone pressurizer;First carbon fiber bar (5) and the second carbon fiber bar (27) On the first nail clip (E) is installed;Physiological bone pressurizer includes fixed block (17), pressure regulation block (24), extension spring (20), pointer spiral shell Follow closely (21), scale outer sleeve (22), inner sleeve (23), dynamic screw (25), screw rod and the first short screw (16);
    Scale outer sleeve (22) openend and inner sleeve (23) openend, which are slided, to be set with, the cylinder bottom of scale outer sleeve (22) with The riser of fixed block (17) is fixedly connected by the first short screw (16), and the cylinder bottom of inner sleeve (23) is provided with to be integrally formed with it Dynamic screw (25), dynamic screw (25) and pressure regulation block (24), which are established, to be connected, and dynamic screw is provided with adjusting pressuring knob on (25) (51), extension spring (20) is arranged in scale outer sleeve (22) and inner sleeve (23), one end of extension spring (20) and scale Outer sleeve (22) is fixedly connected by screw rod, and scale outer sleeve (22) on the wall of inner sleeve (23) coincidence part with being provided with elongated slot Hole, scale is scribed or is provided with long slot bore, the other end of extension spring (20) passes through pointer screw (21) and inner sleeve (23) Connection, pointer screw (21) pass through long slot bore.
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CN108272497B (en) * 2018-04-08 2023-08-01 哈尔滨杰瑞斯医疗科技有限公司 Mechanical arm joint arm combined reduction fracture external fixation support
CN108514444B (en) * 2018-05-09 2020-12-01 广州锡马信息科技有限公司 Fracture treatment device and method
CN108904020B (en) * 2018-05-22 2021-01-15 哈尔滨杰瑞斯医疗科技有限公司 Mechanical double-upper-limb type dynamic comprehensive reduction multi-section bone malformation external fixation support
CN109106434B (en) * 2018-07-11 2021-01-15 河南省洛阳正骨医院(河南省骨科医院) Combined multifunctional physiological bone pressurization bone external fixation support
CN110833446B (en) * 2018-08-19 2023-05-05 南京格琴医疗器械有限责任公司 Knee joint annular rod micro-motion support
CN109288552B (en) * 2018-09-20 2020-05-29 哈尔滨杰瑞斯医疗科技有限公司 Achilles tendon skin multi-section separation combined type minimally invasive treatment external fixing support
CN112438788A (en) * 2019-09-04 2021-03-05 张韦 Unilateral external fixation support

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