CN106725784A - A kind of fracture of tibia and fibula three-dimensional closed resetting means - Google Patents

Abstract

The invention relates to a three-dimensional closed reduction device for tibia and fibula fractures. An arc-shaped groove is provided on the upper surface of the traction base, and a fixing hole for inserting a fixing bolt is arranged on the arc-shaped surface of the arc-shaped groove. The axis of the fixing hole and The opening directions are all on the local normal of the arc surface; the traction bow is symmetrically fixed with a traction ring I and a traction ring II for passing through and fixing the bolt rod, and the two ends of the traction bow are fixedly installed with the two ends of the traction needle I. The beneficial effect of the present invention is that it can reset the lower limbs, especially the multiple complex displacement fractures of the tibia/fibula, obtain a one-time three-dimensional comprehensive reduction effect of the fracture, save labor and be efficient, and reduce the pain of multiple operations for patients at the same time.

Description

A three-dimensional closed reduction device for tibia and fibula fractures

technical field

The invention relates to fracture traction equipment, in particular to a three-dimensional closed reduction device for tibia and fibula fractures.

Background technique

The existing intraoperative lower limb reducer mainly uses a traction bed. The disadvantage is that it can only perform axial linear traction reduction for fractures, and cannot perform closed three-dimensional reduction for complex fractures such as rotation/angled/comminuted fractures. In actual use, the patient's fracture situation is often not single. Correction by different equipment will easily lead to prolonged treatment time and increase patient pain. If simultaneous correction requires multiple equipment to cooperate with each other, but the different correction equipment in the existing equipment It is usually difficult to cooperate with each other, so it can only be operated by the treatment staff with manual instruments, which increases the difficulty of the operation and physical exertion, and relies more on the experience of the medical staff.

Contents of the invention

The purpose of the present invention is to overcome the deficiencies of the prior art and solve the problem that complex fractures in tibia and fibula fractures are difficult to reset through one operation.

In order to achieve the purpose of the above invention, a three-dimensional closed reduction device for tibia and fibula fractures is provided, including a fixation frame and a traction frame, the fixation frame is fixed by perforating at one end of the fracture site, and the traction frame is fixed by perforating at the other end of the fracture site The perforation is fixed, and the fixed frame and the traction frame are mutually fixed, and the traction frame includes a traction needle 1 for perforating and fixing the bone, a traction bow for pulling the traction needle 1, a fixing bolt and a traction base, and the traction base The upper surface is provided with an arc groove, and the arc surface of the arc groove is provided with a fixing hole for inserting the fixing bolt rod. The axis and opening direction of the fixing hole are all on the local normal of the arc surface; the traction The bow is symmetrically fixed with a traction ring I and a traction ring II for penetrating and fixing the bolt rod, and the two ends of the traction bow are fixedly installed with the two ends of the traction needle I.

The direction of the device facing the corrected bone is upward, and the two sides of the connection direction of the fixed frame and the traction frame are respectively called the left and right sides, the direction of the connection line facing the fixed frame is the front, and the direction of the connection line facing the traction frame is the rear . The axial direction of the arc-shaped groove is the same as the front-rear direction of the device, so as to conform to the curve of human legs.

Preferably, the fixing holes are equally spaced along the axis direction and the circumferential direction of the arc groove respectively.

Preferably, the middle part of the traction bow is connected with a traction ring III for passing through and fixing the bolt.

Preferably, the traction bow is connected to the traction ring III through a buckle.

Preferably, the fixed frame includes a fixed base, a bracket and a traction needle II for perforating and fixing the bone, one end of the bracket is fixed to the fixed base, and the other end is fixed to the traction needle II; the fixed base is in the shape of a platform, so The front side of the fixed base forms an included angle with the bottom surface and the upper surface that conforms to the angle of pulling and lifting the legs.

Preferably, the support is divided into two support rods, and one end of the support rods is respectively fixed to the left and right sides of the fixed base, and the other end is fixed to the end of the traction needle II.

Preferably, it also includes a correction base and a push rod; the correction base is fixed between the fixed frame and the traction frame, and the upper surface of the correction base is provided with a mounting hole for fixing the push rod.

Preferably, the ejector rod includes a soft club-shaped pad and a rod body, and the soft club-shaped pad and the rod body are connected by threads.

Preferably, the mounting holes are evenly distributed on the upper surface of the orthotic base along the front-rear direction.

Preferably, the mounting holes are evenly distributed on the upper surface of the orthotic base along the left-right direction.

Preferably, the correction base and the traction base are made of carbon fiber material, so that they can cooperate with X-rays to achieve precise positioning.

The setting of the arc-shaped groove on the traction base enables the fixing bolt rods to be inserted into different fixing holes while pulling, so that the traction bow can form a rotation. For example, inserting all the fixing bolt rods into the fixing holes on the right side can realize the purpose of applying leftward rotation force to the fracture segment.

The fixing holes are distributed at equal intervals along the axial direction and the arc circumferential direction of the arc groove respectively, and the positions of the fixing holes are limited so that a standard spacing is formed between the fixing holes, which is convenient for precise adjustment of the fixing bolt during use.

The design of the traction ring III is combined with the traction ring I and the traction ring II. When the fracture segment needs to be more distracted, first fix the traction ring III through the fixing bolt, and then adjust the traction ring I and the traction ring II to a position farther away from the fracture end And by fixing the bolt rod, you can increase the traction. It can be operated as many times as needed, that is, a gradual increase in traction can be formed.

The buckle connection method facilitates the disassembly of the traction ring III on the traction bow, which can reduce the interference caused by X-ray shooting and other situations.

The included angle of the front side of the fixed base is in line with the leg lifting angle, providing a preparation platform for leg piercing operation, so that the legs can be placed in the corresponding position before piercing, reducing the physical strength required for the operator to lift and maintain the affected area during traditional piercing consume.

The support is divided into two support rods, and one end of the support rods is respectively fixed on the left and right sides of the fixed base, and the other end is fixed to the end of the traction needle II. Cooperating with the traditional traction standard method, it is convenient for the bracket to be adapted to the traditional traction needle, and the force is uniform, and the bracket is not easy to overturn.

The cooperation between the pedestal and the push rod for correction, when aiming at the backward angled deformity, the push rod is inserted directly under the angled place, and it can be reset by the folding force generated by pressing down. When aiming at the lateral displacement, the ejector rod is inserted beside the lateral displacement, and the lateral displacement can be reset by applying pressure to the side of the angled end of the fracture.

The setting of the soft clubbed pad reduces the discomfort of hard contact with the human body. The soft clubbed pad and the rod body are connected by threads, so that the soft clubbed pad can be raised and lowered, and can uniformly adapt to the operation of backward angular deformity and lateral displacement.

The installation holes are evenly distributed on the upper surface of the orthopedic pedestal along the front-rear direction and on the upper surface of the orthodontic pedestal along the left-right direction to form a standard spacing, and the precise application of stress on the fracture segment can be realized by cooperating with X-ray and fracture visual inspection.

The beneficial effect of the present invention is that it can reset the lower limbs, especially the multiple complex displacement fractures of the tibia/fibula, obtain a one-time three-dimensional comprehensive reduction effect of the fracture, save labor and be efficient, and reduce the pain of multiple operations for patients at the same time.

Description of drawings

Fig. 1 is the structural representation of lower limb traction bed in the prior art;

Fig. 2 is a structural schematic diagram of a three-dimensional closed reduction device for tibia and fibula fractures of the present invention;

in:

1-fixed frame 11-fixed base 12-bracket

13-Traction Needle II 2-Traction Frame 21-Traction Needle I

22-Traction bow 221-Traction ring I 222-Traction ring II

223-Towing ring III 2231-Retaining ring 23-Fixing bolt rod

24-traction base 241-arc groove 242-fixing hole

3-Pedestal for correction 31-Installation hole 4-Ejector

41-soft club pad 42-rod body

detailed description

The present invention will be further described below in conjunction with the accompanying drawings and specific embodiments.

A three-dimensional closed reduction device for tibia and fibula fractures as shown in Fig. 2 includes a fixation frame 1 and a traction frame 2, the fixation frame 1 is fixed by perforating at one end of the fracture site, and the traction frame 2 is fixed through a hole at the fracture site The other end is perforated and fixed, and the fixed frame 1 and the traction frame 2 are mutually fixed, and the traction frame 2 includes a traction needle I21 for perforating and fixing the bone, a traction bow 22 for pulling the traction needle I21, and a fixing bolt 23 And the traction base 24, the upper surface of the traction base 24 is provided with an arc groove 241, and the arc surface of the arc groove 241 is provided with a fixing hole 242 for inserting the fixing bolt 23, the axis and opening of the fixing hole 242 The directions are all on the local normal of the arc surface; the traction bow 22 is symmetrically fixed with a traction ring I221 and a traction ring II222 for penetrating the fixing bolt 23, and the two ends of the traction bow 22 are fixedly installed with the two ends of the traction needle I21 .

The direction of the device to correct the bone is upward, the two sides of the connection direction of the fixed frame 1 and the traction frame 2 are called the left and right sides respectively, the direction of the connection line facing the fixed frame 1 is the front, and the connection line faces the traction frame 2 The direction is back. The axial direction of the arc-shaped groove 241 is the same as the front-rear direction of the device, so as to conform to the curve of human legs.

The fixing holes 242 are equally spaced along the axial direction and the circumferential direction of the arc groove 241 .

The middle part of the traction bow 22 is connected with a traction ring III 223 for penetrating and fixing the bolt rod 23 .

The traction bow 22 is connected with the traction ring III 223 through a buckle 2231 .

The fixed frame 1 includes a fixed base 11, a support 12 and a traction needle II13 for perforating and fixing the bone, one end of the support 12 is fixed to the fixed base 11, and the other end is fixed to the traction needle II13; the fixed base 11 is a table body Outline, the front side of the fixed base 11 forms an included angle with the bottom surface and the upper surface that conforms to the angle of pulling the leg.

The support 12 is divided into two support rods, and one end of the support rod is respectively fixed on the left and right sides of the fixed base 11, and the other end is fixed to the end of the traction needle II13.

It also includes a correction base 3 and a push rod 4; the correction base 3 is fixed between the fixed frame 1 and the traction frame 2, and the upper surface of the correction base 3 is provided with a mounting hole 31 for fixing the push rod 4.

The ejector rod 4 includes a soft club pad 41 and a rod body 42, and the soft club pad 41 and the rod body 42 are connected by threads.

The mounting holes 31 are evenly distributed on the upper surface of the correction base 3 along the front-rear direction.

The mounting holes 31 are evenly distributed on the upper surface of the correction base 3 along the left-right direction.

The correction base 3 and the traction base 2 are made of carbon fiber material, so that they can cooperate with X-rays to achieve precise positioning.

More specifically, the fixing frame 1 is made of a hollow steel frame, and the correcting base 3 is a cuboid, and the upper surfaces are all horizontal.

Fracture reduction operation process as shown in Figure 2:

1. Put the affected limb on the device as shown in Figure 2, and pay attention to protect the popliteal fossa/heel with soft cotton pads;

2. Insert the Steiner needle (traction needle II13) according to the standard method of traction on the femoral condyle, and fix the two ends of the Steiner needle (traction needle II13) to the corresponding position on the bracket 12 with buckles;

3. Insert another Steiner needle (traction needle I21) according to the standard method of calcaneal traction, and its two ends are connected to the traction bow 22 with bolts;

4. Insert the fixed bolt rod 23 into the traction ring I221 and the traction ring II222, and insert the fixed bolt rod 23 into the predetermined fixed hole 242;

5. When the fracture segment needs more traction, insert the fixed bolt rod 23 through the traction ring III223 and insert it into the arc groove 241 as far as possible from the fixation hole 242 of the fracture segment, and pass the fixed bolt rod 23 through the traction ring I221 and the traction ring After II222 is fixed in a farther fixing hole 242, this process is repeated to continuously increase the traction force;

6. When the rotational force needs to be applied, the fixed bolt rod 23 passes through the traction ring I221 and the traction ring II222 and is fixed in the inclined fixing hole 242 of the arc groove 241 to provide the rotational force;

6. When it is necessary to reset the backward angled deformity, turn down the soft club pad 41 and insert the rod body 42 directly below the angled place, and then reset by pressing down on the ankle to generate folding force;

7. When the lateral displacement needs to be reset, the soft club pad 41 is screwed up and the rod body 42 is inserted to the lateral displacement position, and the lateral displacement can be reset by pressing the lateral pressure on the angled end of the fracture.

The preferred embodiments of the present invention have been described in detail above, but the present invention is not limited to the described embodiments, and those skilled in the art can also make various equivalents without violating the spirit of the present invention. These equivalent modifications or replacements are all included within the scope defined by the claims of the present application.

Claims (10)

1. A three-dimensional closed reduction device for tibia and fibula fractures, comprising a fixed frame and a traction frame, the fixed frame is fixed by perforating at one end of the fracture site, and the traction frame is fixed by perforating at the other end of the fracture site, the described The fixed frame and the traction frame are mutually fixed, and it is characterized in that the traction frame includes a traction needle 1 for perforating and fixing the bone, a traction bow for pulling the traction needle 1, a fixed bolt and a traction base, and the traction base The surface is provided with an arc-shaped groove, and the arc-shaped surface of the arc-shaped groove is provided with a fixing hole for inserting the fixing bolt rod. The axis and opening direction of the fixing hole are all on the local normal line of the arc surface; the traction bow The traction ring I and the traction ring II for penetrating and fixing the bolt rod are symmetrically fixed on the top, and the two ends of the traction needle I are fixedly installed at the two ends of the traction bow. 2 . The three-dimensional closed reduction device for tibia and fibula fractures according to claim 1 , wherein the fixing holes are distributed at equal intervals along the axis direction and the arc circumferential direction of the arc-shaped groove respectively. 3 . 3. The three-dimensional closed reduction device for tibia and fibula fractures according to claim 1, characterized in that, the middle part of the traction bow is connected with a traction ring III for penetrating and fixing the bolt rod. 4. The three-dimensional closed reduction device for tibia and fibula fractures according to claim 3, wherein the traction bow is connected to the traction ring III through a buckle. 5. The three-dimensional closed reduction device for tibia and fibula fractures according to claim 1, wherein the fixation frame includes a fixed base, a bracket and a traction pin II for perforating and fixing the bone, and one end of the bracket is fixed to the fixed base , the other end fixes the traction needle II; the fixed base is in the shape of a platform, and the front side of the fixed base forms an included angle with the bottom surface and the upper surface that conforms to the angle of pulling the leg. 6. The three-dimensional closed reduction device for tibia and fibula fractures according to claim 5, wherein the support is divided into two support rods, and one end of the support rods is respectively fixed to the left and right sides of the fixed base, and Fix the other end with the tip of the pulling pin II. 7. The three-dimensional closed reduction device for tibia and fibula fractures according to claim 1, further comprising a base for correction and a push rod; the base for correction is fixed between the fixed frame and the traction frame, and the base for correction Mounting holes for fixing the push rod are provided on the upper surface. 8 . The three-dimensional closed reduction device for tibia and fibula fractures according to claim 7 , wherein the ejector rod comprises a soft club pad and a rod body, and the soft club pad and the rod body are connected by threads. 9 . The three-dimensional closed reduction device for tibia and fibula fractures according to claim 7 , wherein the installation holes are evenly distributed on the upper surface of the correction base along the front-back direction. 10. The three-dimensional closed reduction device for tibia and fibula fractures according to claim 7, wherein the installation holes are evenly distributed on the upper surface of the correction base along the left and right directions.