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CN113749748A - A movable elbow joint support - Google Patents

A movable elbow joint support Download PDF

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Publication number
CN113749748A
CN113749748A CN202111158943.3A CN202111158943A CN113749748A CN 113749748 A CN113749748 A CN 113749748A CN 202111158943 A CN202111158943 A CN 202111158943A CN 113749748 A CN113749748 A CN 113749748A
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China
Prior art keywords
rod
block
clamped
screw
elbow joint
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CN202111158943.3A
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Chinese (zh)
Inventor
安智全
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Shanghai Sixth Peoples Hospital
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Shanghai Sixth Peoples Hospital
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Priority to CN202111158943.3A priority Critical patent/CN113749748A/en
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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
    • A61B17/6425Devices 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
    • A61B17/64Devices extending alongside the bones to be positioned
    • A61B17/6466Devices extending alongside the bones to be positioned with pin-clamps movable along a solid connecting rod

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

本发明公开了一种可动的肘关节支架,本发明两个直角弯杆后侧均通过夹持块夹持Schanz螺钉与尺骨干后侧固定,前侧通过夹持块与下端连杆夹持在一起,而下端连杆通过可调节连接件与球形连杆安装在一起,从而通过直角弯杆1的使用,其中远端Schanz螺钉打入尺骨近端的螺钉位于后侧,使得可调节连接件旋转中心处于外侧,从而降低了远端打入螺钉的操作难度。本发明通过可调节连接件的使用,松开固定螺钉后,可调节其远端直杆连接器位于下端连杆上的位置,可通过固定螺钉进行锁紧,松开空心定位钉,可调节其上端连杆与远端直杆连接器之间的角度,从而可根据病人手臂弯曲的角度调节,使之更加符合肘关节的生理活动标准,减少对前壁旋转功能的影响。

Figure 202111158943

The invention discloses a movable elbow joint bracket. The rear sides of the two right-angle bending rods of the invention are fixed with the rear side of the ulnar shaft by clamping the Schanz screw through the clamping block, and the front side is clamped by the clamping block and the lower end connecting rod. together, while the lower end link is mounted with the ball link by means of an adjustable link, thereby allowing the use of a right-angle bent rod 1, where the distal Schanz screw is driven into the proximal ulna and the screw is located posteriorly, making the adjustable link The center of rotation is on the outside, which reduces the difficulty of driving distal screws. In the present invention, through the use of the adjustable connecting piece, after loosening the fixing screw, the position of the distal straight rod connector on the lower end connecting rod can be adjusted, and the fixing screw can be used for locking, and the hollow positioning pin can be loosened to adjust its position. The angle between the upper link and the distal straight link can be adjusted according to the bending angle of the patient's arm, making it more in line with the physiological activity standard of the elbow joint and reducing the influence on the rotation function of the front wall.

Figure 202111158943

Description

Movable elbow joint support
Technical Field
The invention relates to the technical field of medical instruments, in particular to a movable elbow joint support.
Background
Instability of the elbow joint due to trauma is a common injury to the elbow, and most of them require surgical treatment. In some cases, after fracture fixation and ligament repair, there is some instability, in which an external fixation frame is required to increase stability, and the elbow joint is allowed to move early, so as to reduce the stiffness of the elbow joint and improve the curative effect.
The screw at the far end of the prior movable elbow joint support is usually arranged at the outer side of the middle section of the ulna, the operation is inconvenient, the fracture of the ulna shaft is easily caused, and the rotation function of the forearm is limited. Therefore, a novel elbow joint movable support is provided.
Disclosure of Invention
The object of the present invention is to provide a movable elbow joint support that solves the problems set forth in the background above.
In order to achieve the purpose, the invention provides the following technical scheme: the utility model provides a movable elbow joint support, includes two right angle knee rods, the rear side centre gripping of right angle knee rod has the grip block, the centre gripping has the Schanz screw on the grip block, and the rear side fixed mounting of Schanz screw and chi diaphysis, the right side centre gripping of right angle knee rod has the grip block, and the centre gripping has the lower extreme connecting rod between two grip blocks, but adjustable connector is installed to the upper end of lower extreme connecting rod, spherical connecting rod is installed to adjustable connector's upper end, the upper end centre gripping of spherical connecting rod has the grip block, the centre gripping has two Schanz screws on the grip block, and Schanz screw and brachial diaphysis fixed mounting.
Preferably, the adjustable connecting piece comprises a far-end straight rod connector, an inclined hole penetrates through the upper surface of the far-end straight rod connector, the inclined hole is sleeved with a lower end connecting rod, the tail end of the far-end straight rod connector is screwed with a fixing screw which is connected with the lower end and is extruded mutually, an inserting rod is inserted into the head end of the far-end straight rod connector, a hinged block is integrally formed at the head end of the inserting rod, a spherical hinge groove is formed in the middle of the hinged block, a hollow positioning nail is screwed on the outer side wall of the hinged block, one end of a shaft rod is sleeved in the middle of the hollow positioning nail, the other end of the shaft rod is fixedly mounted on the inner side wall of the spherical hinge groove, a positioning nail is screwed on the lower end of the far-end straight rod connector, and a limit groove formed in the outer side wall of the inserting rod is sleeved on the outer side wall of the positioning nail.
Preferably, the spherical connecting rod comprises a connecting ball, the connecting ball is sleeved in the spherical hinge groove, the connecting ball is sleeved with the shaft rod and is extruded with the hollow positioning nail, and an upper end connecting rod is fixedly mounted at the upper end of the connecting ball.
Preferably, the grip block includes central splint, the both ends integrated into one piece at central splint middle part has the hexagon stopper, the laminating of the both sides of central splint has the extrusion piece, one side the screw has been cup jointed on the extrusion piece, and the screw runs through behind the hexagon stopper with opposite side extrusion piece looks spiro union, the hexagon spacing groove that cup joints mutually with the hexagon stopper is seted up with the opposite face of central splint to the extrusion piece.
Compared with the prior art, the invention has the beneficial effects that: the invention relates to a movable elbow joint support.A Schanz screw is clamped at the rear sides of two right-angle bent rods by a clamping block and is fixed with the rear side of a ulnar stem, the front side of the two right-angle bent rods is clamped with a lower end connecting rod by the clamping block, the lower end connecting rod is installed with a spherical connecting rod by an adjustable connecting piece, the spherical connecting rod clamps the Schanz screw by the clamping block and is fixedly installed with a humeral stem, so that the installation of the device is completed, and the right-angle bent rods 1 are used, wherein the screw which is driven into the proximal end of the ulnar is positioned at the rear side by the Schanz screw at the far end, so that the rotation center of the adjustable connecting piece is positioned at the outer side, and the operation difficulty of driving the screw into the far end is reduced.
According to the invention, through the use of the adjustable connecting piece, after the fixing screw is loosened, the position of the far-end straight rod connector on the lower-end connecting rod can be adjusted, after the adjustment is finished, the locking is carried out through the fixing screw, the hollow positioning nail is loosened, the connecting ball can rotate in the spherical hinge groove, so that the angle between the upper-end connecting rod and the far-end straight rod connector can be adjusted, and the angle adjustment can be carried out according to the bent angle of the arm of the patient, so that the elbow joint can better meet the physiological activity standard of the elbow joint, and the influence on the rotation function of the front wall is reduced.
The second embodiment of the invention provides the clamping block, when in use, the connecting rod can be placed in the extrusion groove, and then the connecting rod can be clamped by screwing the screw.
Drawings
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a partial structural view of the first embodiment of the present invention;
FIG. 3 is an exploded view of a portion of the first embodiment of the present invention;
FIG. 4 is a schematic view of a second embodiment of a clamping block according to the present invention.
In the figure: the device comprises a right-angle bent rod 1, a clamping block 2, a central clamping plate 21, a hexagonal limiting block 22, an extrusion block 23, a screw 24, a hexagonal limiting groove 25, an extrusion groove 26, a Schanz screw 3, a lower end connecting rod 4, an adjustable connecting piece 5, a far-end straight rod connector 51, an inclined hole 52, a fixing screw 53, an insertion rod 54, a hinge block 55, a spherical hinge groove 56, a hollow positioning nail 57, a shaft rod 58, a limiting groove 59, a positioning nail 510, a spherical connecting rod 6, a connecting ball 61 and an upper end connecting rod 62.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
The first embodiment is as follows:
referring to fig. 1, fig. 2 and fig. 3, the present invention provides a technical solution: a movable elbow joint support comprises two right-angle bent rods 1, clamping blocks 2 are clamped on the rear sides of the right-angle bent rods 1, Schanz screws 3 are clamped on the clamping blocks 2, the Schanz screws 3 are fixedly mounted on the rear sides of the ulnar stem, the clamping blocks 2 are clamped on the right sides of the right-angle bent rods 1, lower end connecting rods 4 are clamped between the two clamping blocks 2, adjustable connecting pieces 5 are mounted at the upper ends of the lower end connecting rods 4, spherical connecting rods 6 are mounted at the upper ends of the adjustable connecting pieces 5, the clamping blocks 2 are clamped at the upper ends of the spherical connecting rods 6, the two Schanz screws 3 are clamped on the clamping blocks 2, and the Schanz screws 3 are fixedly mounted on the humeral stem.
Specifically, the adjustable connector 5 includes a far-end straight rod connector 51, an inclined hole 52 penetrates through the upper surface of the far-end straight rod connector 51, the inclined hole 52 is sleeved with the lower end connecting rod 4, a fixing screw 53 which is extruded with the lower end connecting rod 4 is screwed at the tail end of the far-end straight rod connector 51, a plug rod 54 is inserted at the head end of the far-end straight rod connector 51, a hinge block 55 is integrally formed at the head end of the plug rod 54, a spherical hinge groove 56 is formed in the middle of the hinge block 55, a hollow positioning nail 57 is screwed on the outer side wall of the hinge block 55, one end of a shaft rod 58 is sleeved in the middle of the hollow positioning nail 57, the other end of the shaft rod 58 is fixedly installed on the inner side wall of the spherical hinge groove 56, a positioning nail 510 is screwed on the lower end of the far-end straight rod connector 51, and a limiting groove 59 which is formed in the outer side wall of the plug rod 54 is sleeved on the outer side wall of the positioning nail 58.
Specifically, the spherical connecting rod 6 comprises a connecting ball 61, the connecting ball 61 is sleeved in the spherical hinge groove 56, the connecting ball 61 is sleeved with the shaft rod 58, the connecting ball 61 is extruded with the hollow positioning nail 57, and the outer side wall of the connecting ball 61 is fixedly provided with an upper end connecting rod 62.
The working principle is as follows: according to the invention, Schanz screws 3 are clamped by the rear sides of two right-angle bent rods 1 through clamping blocks 2 and are fixed with the rear side of the ulnar stem, the front sides of the two right-angle bent rods are clamped together with a lower end connecting rod 4 through the clamping blocks 2, the lower end connecting rod 4 is installed together with a spherical connecting rod 6 through an adjustable connecting piece 5, and the spherical connecting rod 6 clamps the Schanz screws 3 through the clamping blocks 2 and is fixedly installed together with the humeral stem, so that the installation of the device is completed, and therefore, through the use of the right-angle bent rods 1, the screws which are driven into the proximal end of the ulnar by the Schanz screws 3 at the far end are positioned on the rear sides, so that the rotation centers of the adjustable connecting pieces 5 are positioned on the outer sides, and the operation difficulty of driving the screws into the far end is reduced.
According to the invention, through the use of the adjustable connecting piece 5, after the fixing screw 53 is loosened, the position of the far-end straight rod connector 51 on the lower-end connecting rod 4 can be adjusted, after the adjustment is finished, the fixing screw 53 is used for locking, the hollow positioning nail 57 is loosened, the connecting ball 61 can rotate in the spherical hinge groove 56, so that the angle between the upper-end connecting rod 62 and the far-end straight rod connector 51 can be adjusted, the elbow joint can be adjusted according to the bent angle of the arm of a patient, the elbow joint can better meet the physiological activity standard of the elbow joint, and the influence on the rotation function of the front wall is reduced.
Example two:
a movable elbow joint support has the same other characteristics as the first embodiment except that: as shown in fig. 1 and 4:
particularly, grip block 2 includes central splint 21, the both ends integrated into one piece at central splint 21 middle part has hexagon stopper 22, the laminating of central splint 21's both sides has extrusion piece 23, screw 24 has been cup jointed on one side extrusion piece 23, and screw 24 runs through behind the hexagon stopper 22 with the looks spiro union of opposite side extrusion piece 23, the hexagon spacing groove 25 that cup joints mutually with hexagon stopper 22 is seted up with the opposite face of central splint 21 to extrusion piece 23, the opposite face of extrusion piece 23 and central splint 21, extrusion groove 26 has been seted up to the lateral wall that is located hexagon spacing groove 25.
The working principle is as follows: the invention provides the clamping block 2, when in use, the connecting rod can be placed in the extrusion groove 26, and then the connecting rod can be clamped by screwing the screw 24, and the invention adopts the hexagonal limiting groove 25 to be matched with the hexagonal limiting block 22, so that the two extrusion blocks 23 are more stable in clamping and are not easy to have dislocation phenomenon.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims (4)

1.一种可动的肘关节支架,包括两个直角弯杆(1),其特征在于:所述直角弯杆(1)的后侧夹持有夹持块(2),所述夹持块(2)上夹持有Schanz螺钉(3),且Schanz螺钉(3)与尺骨干后侧固定安装,所述直角折弯杆1的右侧夹持有夹持块(2),且两个夹持块(2)之间夹持有下端连杆(4),所述下端连杆(4)的上端安装有可调节连接件(5),所述可调节连接件(5)的上端安装有球形连杆(6),所述球形连杆(6)的上端夹持有夹持块(2),所述夹持块(2)上夹持有两个Schanz螺钉(3),且Schanz螺钉(3)与肱骨干固定安装。1. A movable elbow joint bracket, comprising two right-angle bending rods (1), characterized in that: a clamping block (2) is clamped on the rear side of the right-angle bending rod (1), and the clamping block (2) is clamped at the back of the right-angle bending rod (1). A Schanz screw (3) is clamped on the block (2), and the Schanz screw (3) is fixedly installed on the posterior side of the ulnar shaft, and a clamping block (2) is clamped on the right side of the right-angle bending rod 1, and the two A lower end connecting rod (4) is clamped between the clamping blocks (2), an adjustable connecting piece (5) is installed on the upper end of the lower end connecting rod (4), and the upper end of the adjustable connecting piece (5) A spherical connecting rod (6) is installed, the upper end of the spherical connecting rod (6) is clamped with a clamping block (2), and two Schanz screws (3) are clamped on the clamping block (2), and The Schanz screw (3) is fixedly installed with the humeral shaft. 2.根据权利要求1所述的一种可动的肘关节支架,其特征在于:所述可调节连接件(5)包括远端直杆连接器(51),所述远端直杆连接器(51)的上表面贯穿有倾斜孔(52),且倾斜孔(52)与下端连杆(4)相套接,所述远端直杆连接器(51)的末端螺接有与下端连杆(4)相挤压的固定螺钉(53),所述远端直杆连接器(51)的首端插接有插接杆(54),所述插接杆(54)的首端一体成型有铰接块(55),所述铰接块(55)的中部开设有球形铰接槽(56),所述铰接块(55)的外侧壁螺接有空心定位钉(57),所述空心定位钉(57)的中部套接有轴杆(58)的一端,且轴杆(58)的另一端与球形铰接槽(56)的内侧壁固定安装,所述远端直杆连接器(51)的下端螺接有定位钉(510),且定位钉58的外侧壁套接有开设于插接杆(54)外侧壁的限位槽(59)。2. A movable elbow joint bracket according to claim 1, characterized in that: the adjustable connecting piece (5) comprises a distal straight rod connector (51), and the distal straight rod connector An inclined hole (52) runs through the upper surface of (51), and the inclined hole (52) is sleeved with the lower end connecting rod (4). A fixing screw (53) extruded by the rods (4), the head end of the distal straight rod connector (51) is inserted with a plug rod (54), and the head end of the plug rod (54) is integrated A hinged block (55) is formed, the middle of the hinged block (55) is provided with a spherical hinged groove (56), and the outer side wall of the hinged block (55) is screwed with a hollow positioning nail (57), the hollow positioning The middle part of the nail (57) is sleeved with one end of the shaft (58), and the other end of the shaft (58) is fixedly installed with the inner side wall of the spherical hinge groove (56). The distal straight rod connector (51) A positioning pin (510) is screwed on the lower end of the positioning pin 58, and a limiting groove (59) opened on the outer side wall of the plug-in rod (54) is sleeved on the outer side wall of the positioning pin 58. 3.根据权利要求2所述的一种可动的肘关节支架,其特征在于:所述球形连杆(6)包括连接球(61),所述连接球(61)套接于球形铰接槽(56)内,所述连接球(61)与轴杆(58)相套接,且连接球(61)与空心定位钉(57)相挤压,所述连接球(61)的外侧壁固定安装有上端连杆(62)。3 . The movable elbow joint bracket according to claim 2 , wherein the spherical link ( 6 ) comprises a connecting ball ( 61 ), and the connecting ball ( 61 ) is sleeved in the spherical hinge groove. 4 . In (56), the connecting ball (61) is sleeved with the shaft (58), and the connecting ball (61) is pressed against the hollow positioning pin (57), and the outer side wall of the connecting ball (61) is fixed The upper end link (62) is installed. 4.根据权利要求1所述的一种可动的肘关节支架,其特征在于:所述夹持块(2)包括中心夹板(21),所述中心夹板(21)中部的两端一体成型有六边形限位块(22),所述中心夹板(21)的两侧贴合有挤压块(23),一侧所述挤压块(23)上套接有螺钉(24),且螺钉(24)贯穿六边形限位块(22)后与另一侧挤压块(23)相螺接,所述挤压块(23)与中心夹板(21)的相对面开设有与六边形限位块(22)相套接的六边形限位槽(25),所述挤压块(23)与中心夹板(21)的相对面,位于六边形限位槽(25)的外侧壁开设有挤压槽(26)。4. A movable elbow joint bracket according to claim 1, characterized in that: the clamping block (2) comprises a center splint (21), and both ends of the middle of the center splint (21) are integrally formed There are hexagonal limit blocks (22), extrusion blocks (23) are attached to both sides of the central splint (21), and screws (24) are sleeved on the extrusion blocks (23) on one side, And the screw (24) penetrates through the hexagonal limit block (22) and then is screwed with the extrusion block (23) on the other side. The hexagonal limit groove (25) is sleeved with the hexagonal limit block (22), and the opposite surface of the extrusion block (23) and the central clamping plate (21) is located in the hexagonal limit groove (25) ) is provided with an extrusion groove (26).
CN202111158943.3A 2021-09-30 2021-09-30 A movable elbow joint support Pending CN113749748A (en)

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US20100249778A1 (en) * 2007-07-11 2010-09-30 Prospero Bigazzi self-centring elbow fixation device without guide wire
CN201609403U (en) * 2010-02-03 2010-10-20 白滨 Fixing device at outside of olecroanon
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Title
"尺骨解剖", Retrieved from the Internet <URL:https://vdse.bdstatic.com//5467186e456e5f67f37e55a3a77b914e.mp4?authorization=bce-auth-v1%2F40f207e648424f47b2e3dfbb1014b1a5%2F2024-06-12T08%3A24%3A06Z%2F-1%2Fhost%2F39827796992ccad315ead83939dc5598d01c62d646a9b48246e2c7a51486be9b> *

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