Adjustable flexible bone-to-bone fixing device and implanting mechanism
Technical Field
The invention relates to the technical field of medical instruments, in particular to an adjustable flexible bone-to-bone fixing device and an implanting mechanism.
Background
The tibiofibula and ulna combination is a common combination of support and attachment in humans, such as tibiofibula: the tibiofibular syndesmosis is composed of a distal tibiofibular joint and a tibiofibular ligament complex, the surgical treatment method for the damage of the tibiofibular syndesmosis usually relatively stabilizes a fibula and a tibia in proper positions so that the ligaments are gradually restored, the currently common method is to nail the tibia through the fibula by one or more cortical screws so as to obtain a relatively stable rigid fixing mode, but the mode of rigidly fixing the cortical screws prevents the shearing movement and rotation of the fibula relative to the tibia, the position of the driven screws in the actual operation is not well controlled, and the risk of the fatigue fracture of the screws after the operation is high.
The prior art at present discloses a device, which adopts a suture as a flexible fixing mode of a fixture before restoration of a tibiofibular syndesmosis by respectively placing a titanium plate with a loop on the outer side of a fibula and the inner side of a tibia.
However, in the above manner, although the method of fixing with two titanium plates with straps solves most problems of rigid fixation, it needs to penetrate through tibia and fibula, so that the bone removal amount is increased.
Disclosure of Invention
The invention aims to provide an adjustable flexible bone-to-bone fixing device and an implanting mechanism, and aims to solve the problem that the bone removal amount is large due to the fact that a fibula and a tibia are fixed by two belt loop titanium plates in the prior art.
To achieve the above objects, in a first aspect, the present invention provides an adjustable flexible bone-to-bone fixation device comprising a first suture having a first traction end, a second traction end, a first wire inlet hole and a first wire outlet hole, and a flexible fixation assembly comprising a second suture and a titanium alloy button;
the second suture is sleeved on the side edge of the first suture, the second suture is provided with a second wire inlet hole, a second wire outlet hole and a plurality of open holes, the second wire inlet hole and the second wire outlet hole are positioned at two ends of the second suture, and the plurality of open holes are respectively positioned on the side edge of the second suture; the titanium alloy button is positioned on one side of the second thread, the titanium alloy button is provided with a first thread passing hole, a second thread passing hole, a third thread passing hole, a fourth thread passing hole, a fifth thread passing hole and a sixth thread passing hole, the first thread passing hole is positioned on one side of the titanium alloy button, the second thread passing hole is positioned on one side of the first thread passing hole, the third thread passing hole and the fourth thread passing hole are positioned between the first thread passing hole and the second thread passing hole, and the fifth thread passing hole and the sixth thread passing hole are positioned between the first thread passing hole and the second thread passing hole; the second traction end sequentially penetrates through the second wire inlet hole, the plurality of openings, the second wire outlet hole, the fifth wire passing hole, the sixth wire passing hole, the first wire inlet hole, the first wire outlet hole and the second wire passing hole to form a second closed loop; the first traction end sequentially penetrates through the third wire passing hole, the fourth wire passing hole, the first wire outlet hole, the first wire inlet hole and the first wire passing hole to form a first closed loop.
Wherein the number of the openings is eight.
Wherein, eight the trompils evenly distributed in the second suture side.
In a second aspect, the present invention also provides an adjustable flexible bone-to-bone implant mechanism comprising an adjustable flexible bone-to-bone implant mechanism and an implant assembly; the implant component is arranged on the side of the titanium alloy button.
Wherein the implant assembly comprises a handle and a stainless steel rod; the handle is positioned on the side edge of the titanium alloy button and is provided with a first wire passing groove, a second wire passing groove, a third wire passing groove and a button groove; the stainless steel rod is fixedly connected with the handle and positioned on the side edge of the handle, and the stainless steel rod is provided with a steel rod wire passing groove.
Wherein the implant assembly further comprises a rubber ring; the rubber ring is sleeved on the side edge of the third wire passing groove.
According to the adjustable flexible bone-to-bone fixing device and the implanting mechanism, the first suture is formed by weaving ultra-high molecular weight polyethylene yarns, is a hollow suture with a circular cross section and is 1000mm long; the second suture can be made of ultra-high molecular weight polyethylene yarns or polyethylene glycol terephthalate materials, is sleeved in the center of the first suture, and has the length of 40-50mm; when the function is realized, firstly, the fibula and the tibia are adjusted to proper positions, a 3.5 drill is used for drilling through the fibula (the surface of the tibia cannot be contacted with the fibula), then a 3.0 drill is used for penetrating through the fibula channel created by the 3.5 drill to create a channel with the depth of about 30mm on the tibia, the second suture is passed through the fibula channel and is knocked into the tibia channel, the titanium alloy button is arranged on the surface of the cortical bone on the outer side of the fibula, the first traction end and the second traction end are pulled, the second suture is contracted into a group in the channel to squeeze the channel to realize flexible fixation, and the exposed redundant suture head of the first suture is cut out after the fixation is determined without knotting. The ankle joint fixing device combines the advantages of rigid fixing and elastic fixing, and compared with screw fixing, the ankle joint fixing device retains the micromotion function of the joint, is beneficial to early-stage weight-bearing exercise of the ankle joint of a patient, reduces ankle joint degeneration and traumatic arthritis, and greatly reduces the risk of fracture of an implant; compared with elastic fixation of a button titanium plate and the like, the external cortical bone is only passed through the external cortical bone at the tibia end, the bone removal amount is less, friction between a suture and the bone is reduced, local inflammatory reaction is reduced, and the problem of osteolysis of the button titanium plate or sinking of an internal fixing device is solved at the same time, the external opening is only needed for the operation access, the operation is simple, convenient and rapid, and the used learning curve is short; this application has only solved titanium alloy screw and has taken place the inflammation because of the rejection reaction easily after implanting at the shin bone end through the condition of three-layer cortex bone under the flexible fixed mode of use, causes the position of implanting to take place the osteolysis, triggers the not hard up condition of screw, and has obtained less bone and has got rid of volume and reliable fixed mode.
Drawings
In order to more clearly illustrate the embodiments of the present application or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below.
FIG. 1 is a schematic overall structural view of an adjustable flexible bone to bone fixation device of the present invention.
FIG. 2 is a schematic view of a first suture of the present invention.
FIG. 3 is a schematic representation of the construction of a second suture of the present invention.
Fig. 4 is a schematic structural view of the titanium alloy button of the present invention.
FIG. 5 is a schematic view of an adjustable flexible bone to bone fixation device and implant mechanism of the present invention.
Fig. 6 is a schematic view of the structure of the handle and stainless steel rod of the present invention.
Fig. 7 is a schematic structural view of the rubber ring of the present invention.
FIG. 8 is a view of the present invention showing the use of an adjustable flexible bone to bone fixation device.
1-first suture, 2-flexible fixing component, 3-second suture, 4-titanium alloy button, 5-implantation component, 6-handle, 7-stainless steel rod, 8-rubber ring, 11-first traction end, 12-second traction end, 13-first wire inlet hole, 14-first wire outlet hole, 15-first closed loop, 16-second closed loop, 31-second wire inlet hole, 32-second wire outlet hole, 33-open hole, 41-first wire passing hole, 42-second wire passing hole, 43-third wire passing hole, 44-fourth wire passing hole, 45-fifth wire passing hole, 46-sixth wire passing hole, 61-first wire passing groove, 62-second wire passing groove, 63-third wire passing groove, 64-button groove and 70-steel rod wire passing groove.
Detailed Description
In a first aspect, the present invention provides an adjustable flexible bone-to-bone fixation device, please refer to fig. 1-4, 8, wherein fig. 1 is a schematic structural diagram of an entire adjustable flexible bone-to-bone fixation device of the present invention, fig. 2 is a schematic structural diagram of a first suture of the present invention, fig. 3 is a schematic structural diagram of a second suture of the present invention, fig. 4 is a schematic structural diagram of a titanium alloy button of the present invention, fig. 8 is a use state diagram of an adjustable flexible bone-to-bone fixation device of the present invention, the present invention provides an adjustable flexible bone-to-bone fixation device, which comprises a first suture 1 and a flexible fixation component 2, the first suture 1 has a first traction end 11, a second traction end 12, a first wire inlet 13 and a first wire outlet 14, the flexible fixation component 2 comprises a second suture 3 and a titanium alloy button 4; the second suture 3 is provided with a second wire inlet hole 31, a second wire outlet hole 32 and a plurality of open holes 33; the titanium alloy button 4 has a first wire hole 41, a second wire hole 42, a third wire hole 43, a fourth wire hole 44, a fifth wire hole 45 and a sixth wire hole 46.
For the present embodiment, the first suture 1 has a first traction end 11, a second traction end 12, a first wire inlet 13 and a second wire outlet 32, the second suture 3 is sleeved on the side of the first suture 1, the second wire inlet 31 and the second wire outlet 32 are located at two ends of the second suture 3, and the plurality of openings 33 are located on the side of the second suture 3 respectively; the titanium alloy button 4 is positioned on one side of the second thread 3, the first thread passing hole 41 is positioned on one side of the titanium alloy button 4, the second thread passing hole 42 is positioned on one side of the first thread passing hole 41, the third thread passing hole 43 and the fourth thread passing hole 44 are positioned between the first thread passing hole 41 and the second thread passing hole 42, and the fifth thread passing hole 45 and the sixth thread passing hole 46 are positioned between the first thread passing hole 41 and the second thread passing hole 42; the second traction end 12 sequentially passes through the second wire inlet hole 31, the plurality of openings 33, the second wire outlet hole 32, the fifth wire passing hole 45, the sixth wire passing hole 46, the first wire inlet hole 13, the first wire outlet hole 14 and the second wire passing hole 42 to form a second closed loop 16; the first traction end 11 sequentially passes through the third wire passing hole 43, the fourth wire passing hole 44, the first wire outlet hole 14, the first wire inlet hole 13 and the first wire passing hole 41 to form a first closed loop 15.
The titanium alloy button 4 is made of TC4 titanium alloy, the first suture 1 is made of ultra-high molecular weight polyethylene yarn, and the second suture 3 is made of ultra-high molecular weight polyethylene or polyethylene terephthalate material; the second suture 3 can slide axially relative to the first suture 1 to produce a contraction deformation. The second traction end 12 of the first suture 1 penetrates through the second wire inlet hole 31 of the second suture 3, then sequentially penetrates through the plurality of open holes 33 and then penetrates through the second wire outlet hole 32, then the first traction end 11 penetrates through the third wire outlet hole 43 and the fourth wire outlet hole 44 of the titanium alloy button 4, then penetrates through the first wire outlet hole 14, penetrates out of the first wire inlet hole 13, and finally penetrates through the first wire outlet hole 41 of the titanium alloy button 4 to form the first closed loop 15; the second traction end 12 of the first suture 1 passes through the fifth wire passing hole 45 and the sixth wire passing hole 46 of the titanium alloy button 4, then passes through the first wire inlet hole 13, passes out of the first wire outlet hole 14, and finally passes through the second wire passing hole 42 of the titanium alloy button 4 to form the second closed loop 16; since the first suture 1 can slide relatively through the plurality of openings, when the first traction end 11 of the first suture 1 is pulled, the first suture 1 slides axially relative to the second suture 3, so that the second suture 3 shrinks into a mass to press the bone canal for fixation. The first closed loop 15 and the second closed loop 16 can slide axially relative to the threading segment, the length adjustment of the first closed loop 15 and the second closed loop 16 can be realized by pulling the first traction end 11, and the force-bearing object does not comprise the first traction end 11 and the second traction end 12, so the first traction end 11 and the second traction end 12 do not need to be knotted and fixed, and the knotless fixation can be realized.
The specific using process is as follows: the first suture 1 is formed by weaving ultra-high molecular weight polyethylene yarns, is a hollow circular cross-section suture and has the length of 1000mm; the second suture 3 can be made of ultra-high molecular weight polyethylene yarn or polyethylene glycol terephthalate material, is sleeved in the center of the first suture 1, and has the length of 30-50mm; during function, firstly, the fibula and the tibia are adjusted to proper positions, a 3.5 drill is used for drilling through the fibula (the surface of the tibia cannot be contacted with the fibula), then a 3.0 drill is used for penetrating through the fibula channel created by the 3.5 drill to create a channel with the depth of about 30mm on the tibia, the second suture 3 is penetrated through the fibula channel and is knocked into the tibia channel, the titanium alloy button 4 is arranged on the surface of the cortex bone on the outer side of the fibula, the first traction end 11 and the second traction end 12 are pulled, the second suture 3 is contracted into a mass in the channel to squeeze the channel to realize flexible fixation, and the exposed redundant thread end of the first suture 1 is cut out after the fixation is determined without knotting. The ankle joint fixing device combines the advantages of rigid fixing and elastic fixing, compared with screw fixing, the ankle joint fixing device retains the micro-motion function of the joint, is beneficial to early-stage weight bearing exercise of the ankle joint of a patient, reduces ankle joint degeneration and traumatic arthritis, and greatly reduces the risk of fracture of an implant; compared with elastic fixation of a button 4 titanium plate and the like, the bone removal quantity is less due to the fact that the tibia end only passes through the outer cortical bone, friction between a suture and the bone is reduced, local inflammatory reaction is reduced, and the problem that the button 4 titanium plate is dissolved in the bone or an inner fixing device sinks is solved; this application has only solved titanium alloy screw easy because of the rejection reaction takes place the inflammation after implanting at the shin bone end through the condition of three-layer cortex bone using flexible fixed mode, causes the position of implanting to take place the osteolysis, triggers the not hard up condition of screw, and has obtained less bone and has got rid of volume and reliable fixed mode.
Wherein the number of the openings 33 is eight. By providing 8 of said apertures 33, a more stable pulling of said first pulling end 11 is obtained.
Secondly, eight openings 33 are uniformly distributed on the side of the second suture 3. By distributing the eight openings 33 evenly over the sides of the second suture 3, it is made more stable when pulling the first pulling end 11.
According to the adjustable flexible bone-to-bone fixing device, the second traction end 12 of the first suture 1 penetrates through the second wire inlet hole 31 of the second suture 3, then sequentially penetrates through eight open holes 33 and then penetrates out of the second wire outlet hole 32, then the first traction end 11 penetrates through the third wire passing hole 43 and the fourth wire passing hole 44 of the titanium alloy button 4, then penetrates through the first wire outlet hole 14, penetrates out of the first wire inlet hole 13, and finally penetrates through the first wire passing hole 41 of the titanium alloy button 4 to form the first closed loop 15; the second traction end 12 of the first suture 1 passes through the fifth wire passing hole 45 and the sixth wire passing hole 46 of the titanium alloy button 4, then passes through the first wire inlet hole 13, passes out of the first wire outlet hole 14, and finally passes through the second wire passing hole 42 of the titanium alloy button 4 to form the second closed loop 16; because the first suture 1 can slide relatively through a plurality of the openings, the first suture 1 slides axially relative to the second suture 3 when the first traction end 11 of the first suture 1 is pulled, so that the second suture 3 shrinks into a mass to press the bone canal for fixation; when the tibia bone scissors are used, firstly, the fibula and the tibia bone are adjusted to proper positions, a 3.5 drill bit is used for drilling through the fibula (the surface of the tibia bone cannot be touched), then a 3.0 drill bit is used for penetrating through the fibula bone channel created by the 3.5 drill bit to create a bone channel with the depth of about 30mm on the tibia bone, the second suture 3 is penetrated through the fibula bone channel and is knocked into the tibia bone channel, the titanium alloy button 4 is arranged on the outer side of the fibula bone, the first traction end 11 and the second traction end 12 are pulled, the second suture 3 is contracted into a mass in the bone channel to squeeze the bone channel to achieve flexible fixation, and the exposed redundant suture end of the first suture 1 is cut out after the fixation is determined.
In a second aspect, the present invention further provides an adjustable flexible bone-to-bone implantation mechanism, please refer to fig. 5-7, wherein fig. 5 is a schematic structural view of an adjustable flexible bone-to-bone fixation device and an implantation mechanism of the present invention, fig. 6 is a schematic structural view of a handle and a stainless steel rod of the present invention, fig. 7 is a schematic structural view of a rubber ring of the present invention, and the adjustable flexible bone-to-bone implantation mechanism of the present invention comprises an adjustable flexible bone-to-bone fixation device and an implantation assembly 5; the implantation component 5 comprises a handle 6, a stainless steel rod 7 and a rubber ring 8; the handle 6 is provided with a first wire passing groove 61, a second wire passing groove 62, a third wire passing groove 63 and a button groove 64; the stainless steel pole 7 has a steel pole wire passing groove 70.
For the present embodiment, the implant assembly 5 is disposed on the side of the titanium alloy button 4. The implant assembly 5 is capable of receiving and securing the titanium alloy button 4.
The handle 6 is positioned on the side edge of the titanium alloy button 4, and the stainless steel rod 7 is fixedly connected with the handle 6 and positioned on the side edge of the handle 6. The steel rod wire passing groove 70 on the stainless steel rod 7 can realize the relative position fixation of the second suture 3, and the first wire passing groove 61, the second wire passing groove 62, the third wire passing groove 63 and the button groove 64 on the handle 6 can realize the storage of the titanium alloy button 4 and the redundant sutures.
Secondly, the rubber ring 8 is sleeved on the side edge of the third wire passing groove 63. The rubber ring 8 is sleeved on the third wire passing groove 63 to protect the suture and the titanium alloy button 4 from falling off.
According to the adjustable flexible bone-to-bone implantation mechanism, the steel rod wire passing groove 70 on the stainless steel rod 7 can realize the relative position fixation of the second suture 3, and the first wire passing groove 61, the second wire passing groove 62, the third wire passing groove 63 and the button groove 64 on the handle 6 can realize the storage of the titanium alloy button 4 and redundant sutures; the rubber ring 8 is sleeved on the third wire passing groove 63 to protect the suture and the titanium alloy button 4 from falling off.
While the above disclosure describes one or more preferred embodiments of the present invention, it should be understood that there is no intent to limit the scope of the claims, and it is intended that all or a portion of the process flow of the above embodiments be practiced and equivalents thereof within the scope of the claims.