Manufacturing method of full-suture outer-row anchor and full-suture outer-row anchor
Technical Field
The invention belongs to the technical field of medical appliances, and particularly relates to a manufacturing method of a full-suture outward-arranged anchor and the full-suture outward-arranged anchor.
Background
The use of a threaded anchor is an important tool in bone joint surgery and is primarily used to secure soft tissue such as ligaments or tendons to bone tissue to form a secure bone anchor point and thus provide stable support.
According to the different functions of the anchor with the line, the anchor with the line can be divided into an inner anchor, an outer anchor and an anchor which is fixed independently, wherein the inner anchor is usually provided with a suture, the free end of the suture is fixed on the bone through the outer anchor after being firmly connected with the bone through the anchor, the outer anchor is usually provided with no suture, the operation effect is realized by introducing the suture of the inner anchor and fixing the suture in a bone canal, and after the anchor with the line is implanted into the bone canal, the soft tissue is bound or surrounded by the suture with the suture to realize the fixation of the tissue.
The full-suture anchor is a kind of anchor with a thread, and is characterized in that the full-suture anchor is connected with a suture by a flexible suture anchor instead of a rigid anchor, and after being implanted into a bone canal, the suture anchor is deformed and expanded along with the suture by tightening the suture, so that the full-suture anchor is firmly connected with bones. The suture anchor has the advantages of small size, small bone exclusion amount, no wide damage to the joint surface of the bone, soft texture, no mistaken damage to surrounding tissues and no interference to medical image examination.
The existing products of the full-suture anchor are mainly inner row nails and independent fixed anchors, and the technology of the full-suture anchor applied to the field of outer row fixation is not disclosed. The method is mainly characterized in that a process of introducing a suture carried by an anchor fixed in an inner row into a flexible outer row full suture anchor is difficult to realize in ① operation, the full suture anchor is easy to separate from an inserter or deform or even separate from the inserter to influence implantation operation and fixing effect, the tail end of the suture after ② outer row fixation is cut off, one side of the suture is stressed and has weak connection relationship with the full suture anchor, if a firm knot structure is not available, the suture is easy to slip at a knot position after being stressed, operation failure is caused, ③ is realized through the knot tying operation, on one hand, the operation knotting process under an arthroscope is complicated, the operation experience of a doctor is high, on the other hand, the formed knot position is often on the surface of a bone, a certain distance is reserved for the full suture anchor in a talus channel, and the phenomenon of unstable knot fixation and loosening of the anchor is generated.
Therefore, a manufacturing method of the full suture line outward anchor, the full suture line outward anchor and a using method thereof, which are free of knotting, firm in fixation and safe and convenient to operate, are needed to be produced.
Disclosure of Invention
The invention provides a manufacturing method of a full-suture outward-arranged anchor, the full-suture outward-arranged anchor and a using method thereof, which are used for solving the technical problem that the full-suture anchor in the prior art cannot be used as an outward-arranged anchoring fixed suture.
The invention is realized by the following technical scheme that the manufacturing method of the full-suture externally-arranged anchor comprises the following steps of
Step 1, preparing a full suture nail body, a first traction wire and a second traction wire, wherein the full suture nail body is a U-shaped circular tube and comprises a first tube arm and a second tube arm;
step 2, a first traction wire and a second traction wire are wound in the whole suture nail body respectively, so that the first traction wire and the second traction wire form a first wire ring and a second wire ring in the whole suture nail body respectively, the first wire ring and the second wire ring are mutually sleeved to form a locking knot, and then two ends of the first traction wire and the second traction wire are led out of a tube through the tube openings of the first tube arm and the second tube arm.
In order to better realize the invention, when the first traction wire is wound in the step 2, the middle part of the first traction wire is led out of the tube from one side of the first tube arm to form the first wire loop, and two free ends of the first traction wire are led out of the tube from the second tube arm to be connected with an internal row nail suture.
In order to better realize the invention, when the second traction wire is wound in the step 2, one end of the second traction wire is led out of the tube from the second tube arm after entering the tube from the first tube arm, then enters the tube from one side of the first tube arm and bypasses the second traction wire to form the second wire loop, and then passes through the second wire loop after being led out of the tube from one side of the first tube arm to form the locking knot with the first wire loop.
In order to better realize the invention, in the step 2, the first traction wire and the second traction wire both comprise traction ends and free ends, the traction ends of the first traction wire are led out of the pipe through the pipe orifice of the second pipe arm, the free ends of the first traction wire are led out of the pipe through the pipe orifice of the second pipe arm or led out of the pipe through the pipe wall on one side of the second pipe arm, the traction ends of the second traction wire pass through the second wire loop after led out of the pipe on one side of the first pipe arm, the free ends of the second traction wire are led out of the pipe through the pipe orifice of the first pipe arm, and the traction ends of the first traction wire and the second traction wire are both provided with buckles for connecting the inner row nail sutures.
In order to better realize the invention, the whole suture nail body is formed by weaving soft materials, and the first pipe arm and the second pipe arm of the whole suture nail body are provided with a suture seam which can be used for allowing the first traction wire and the second traction wire to pass through.
A full suture outer anchor is manufactured by the manufacturing method.
A method for using a full-suture externally-arranged anchor comprises
Step 1, preparing the full suture outer anchor and an inserter;
step 2, embedding the U-shaped section of the full suture outer anchor at the front end of the inserter, implanting the full suture outer anchor into a bone canal by using the inserter, and withdrawing the inserter;
Step 3, connecting the free end of the inner row nail suture with the loop of the first traction wire, pulling the free end of the first traction wire to introduce the inner row nail suture into the full suture nail body of the full suture outer row anchor and replace the position of the first traction wire to form a new first wire loop, and tightening the free end of the inner row nail suture until the inner row nail suture between the inner row nail and the full suture nail body is stressed straight;
And 4, continuing to connect the free end of the inner row of anchor suture with the loop of the second traction wire, pulling the free end of the second traction wire to reintroduce the inner row of anchor suture into the whole suture nail body and replace the position of the second traction wire to form a new second wire loop, enabling the first wire loop and the second wire loop formed by the inner row of anchor suture to mutually pass through to form a new locking knot, stretching the free end of the inner row of anchor suture until the locking knot formed by the first wire loop and the second wire loop is completely locked, shearing off redundant parts of the inner row of anchor suture, and finishing the fixation of the whole suture outer row of anchor.
For better implementation of the invention, the front end of the inserter is provided with a U-shaped groove.
Compared with the prior art, the invention has the following beneficial effects:
The manufacturing method of the full-suture external anchor comprises the steps of 1, preparing a full-suture nail body, a first traction wire and a second traction wire, wherein the full-suture nail body is a U-shaped circular tube and comprises a first tube arm and a second tube arm, 2, respectively winding the first traction wire and the second traction wire in the full-suture nail body, respectively forming a first wire ring and a second wire ring in the full-suture nail body by the first traction wire and the second traction wire, mutually threading the first wire ring and the second wire ring to form a lock knot, leading two ends of the first traction wire and the second traction wire out of a tube through the orifices of the first tube arm and the second tube arm, and using the traction wire to pre-embed the lock knot in the full-suture external anchor manufactured by the method, so that the lock knot formed by the traction wire can be quickly replaced into an internal-row anchor, the knotting step in surgery is omitted, the surgery operation is simplified, and the surgery time is saved.
The invention also provides a use method of the full suture line arranging anchor, the operation mode of firstly implanting and then leading the wire can effectively prevent the occurrence of the conditions of slipping or falling off of the inner suture line arranging anchor, the realizability of operation is ensured, the one-way tightening forms a self-locking structure, the operation is more convenient, the knot shape is more firm, and reliable support is provided for soft tissue repair and fixation.
Drawings
In order to more clearly illustrate the embodiments of the invention or the technical solutions in the prior art, the drawings that are required in the embodiments or the description of the prior art will be briefly described, it being obvious that the drawings in the following description are only some embodiments of the invention, and that other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.
FIG. 1 is a schematic view of the structure of a full suture array anchor of the present invention;
FIG. 2 is an elevation view of a full suture exclusion anchor according to the present invention;
FIG. 3 is a process diagram of a method of using the full suture exclusion anchor of the present invention;
FIG. 4 is a schematic view of another lead-out arrangement of the first traction wire;
FIG. 5 is a schematic view of another winding method of the first traction wire and the second traction wire;
fig. 6 is a schematic illustration of the procedure of a full suture exclusion anchor procedure.
In the figure:
1-whole suture nail body, 2-first traction wire, 3-second traction wire, 4-first pipe arm, 5-second pipe arm, 6-first wire loop, 7-second wire loop, 8-internal row nail suture, 9-loop fastener and 10-inserter.
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention more apparent, the technical solutions of the present invention will be described in detail below. It will be apparent that the described embodiments are only some, but not all, embodiments of the invention. All other embodiments, based on the examples herein, which are within the scope of the invention as defined by the claims, will be within the scope of the invention as defined by the claims.
In the description of the present invention, it should be noted that unless otherwise indicated, the terms "plurality of" means two or more, "upper", "lower", "left", "right", "inner", "outer", "front", "rear", "head", "tail", etc. are merely for convenience of description and for simplicity of description, and do not necessarily indicate or imply that the apparatus or elements referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus should not be construed as limiting the invention. Furthermore, the terms "first," "second," "third," and the like are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.
In the description of the present invention, it should also be noted that, unless explicitly specified and limited otherwise, the terms "mounted," "connected," and "connected" are to be construed broadly, and may be, for example, fixedly connected, detachably connected, integrally connected, mechanically connected, electrically connected, directly connected, or indirectly connected via an intermediary. The specific meaning of the above terms in the present invention can be understood as appropriate by those of ordinary skill in the art.
Example 1:
in this embodiment, a method for manufacturing a full-suture line anchor, as shown in FIG. 1, includes
Step 1, preparing a full suture nail body, a first traction wire and a second traction wire, wherein the full suture nail body is a U-shaped circular tube and comprises a first tube arm and a second tube arm;
And 2, respectively winding a first traction wire and a second traction wire in the whole suture nail body, respectively forming a first wire ring and a second wire ring in the whole suture nail body by the first traction wire and the second traction wire, mutually threading the first wire ring and the second wire ring to form a locking knot, and leading out two ends of the first traction wire and the second traction wire to the outside of a tube through the tube orifices of the first tube arm and the second tube arm.
After the first traction wire and the second traction wire are used for embedding the lock knots in advance, the lock knots formed by the traction wires can be quickly replaced with inner row nail sutures in operation after the whole suture outer anchor is placed into a bone canal, namely, the inner row nail sutures are used for sequentially replacing the first traction wire and the second traction wire in the whole suture anchor body, so that the inner row nail sutures form a new lock knot structure in the whole suture anchor body, the lock knots are tightly locked by the winding suture, the first pipe arm and the second pipe arm of the whole suture anchor body can be tightly tightened to form a compact anchor body to be fixed in the bone canal, the knotting step in operation is omitted, the operation time is simplified, and the whole suture anchor can be used at an outer row position.
In this embodiment, the whole suture nail body is formed by knitting a soft material, and the first tube arm and the second tube arm of the whole suture nail body are provided with a suture seam through which the first traction wire and the second traction wire can pass.
Specifically, in step 2, as shown in fig. 1, when the first traction wire is wound, the middle part of the first traction wire is led out of the tube from one side of the first tube arm to form the first wire loop, two free ends of the first traction wire are led out of the tube from the second tube arm to connect with an inner row of nail stitches, that is, the middle part of the first traction wire is bent to form a double-end side-by-side stitch body with one end being a bent end and the other end being a double-end free end, one end of the bent end is led into the whole stitch body from the tube orifice of the second tube arm until the bent end reaches a position close to the tube orifice of the first tube arm, the bent end of the first traction wire is led out of the tube from a stitch seam on one side of the tube arm, which is close to the tube orifice of the first tube arm, at this time, the first traction wire penetrates through the inner cavity of the whole stitch body, and the two free ends of the first traction wire are led out of the tube from the tube orifice position of the second tube arm, and the installation of the first traction wire is completed.
As shown in fig. 1, in step 2, when the second traction wire is wound, one end of the second traction wire enters the tube from the first tube arm and then is led out of the tube from the second tube arm, then enters the tube from one side of the first tube arm and is led out of the tube from one side of the first tube arm and then passes through the second wire loop, so that the first wire loop and the second wire loop form the lock knot, at this time, the second wire loop formed by the second traction wire and the first wire loop formed by the first traction wire form the lock knot which is mutually sleeved inside and outside the first tube arm, and meanwhile, the part of the second traction wire located inside the first tube arm is hooped inside the lock knot.
In this embodiment, as shown in fig. 1 and fig. 2, in step 2, the first traction wire and the second traction wire each include a traction end and a free end, the traction ends of the first traction wire and the second traction wire are each provided with a loop, the loop is used for connecting an external suture, that is, an internal gang nail suture, specifically, the traction end of the first traction wire is led out of the tube through the orifice of the second tube arm, the free end of the first traction wire is led out of the tube through the orifice of the second tube arm or led out of the tube through the tube wall on one side of the second tube arm, the traction end of the second traction wire is led out of the tube through one side of the first tube arm and then led out of the tube through the second wire loop, and the free end of the second traction wire is led out of the tube through the orifice of the first tube arm, so that the internal gang nail suture is connected to the loop of the first traction wire or the second traction wire, and the free end of the first traction wire or the second traction wire is pulled, so that the internal gang nail suture can be quickly put into the whole body.
In this embodiment, as shown in fig. 4, the traction end and the free end of the first traction wire may be led out of the tube from the orifice of the second tube arm at the same time, as shown in fig. 1, or the traction end of the first traction wire may be led out of the tube from the orifice of the second tube arm, while the free end may be led out of the tube from a seam on a side of the second tube arm near the orifice, and on the other hand, as shown in fig. 5, the first traction wire and the second traction wire may further be led out of and into the tube wall at two ends of the U-shaped section of the full-suture nail body, respectively, so that the first tube arm and the second tube arm may be better combined together when knotted, thereby forming a more firm anchoring effect with the bone canal.
Example 2:
In this embodiment, a full suture outer anchor, as shown in fig. 1 and 2, is manufactured by the manufacturing method of embodiment 1.
Example 3:
in this embodiment, a method for using the full-suture line anchor, as shown in fig. 3 and 6, includes
Step 1, preparing the full suture line outer anchor and an inserter, wherein the front end of the inserter is provided with a U-shaped groove;
Step 2, embedding the U-shaped section of the full suture outer anchor into the U-shaped groove at the front end of the inserter, implanting the full suture outer anchor into the bone canal by using the inserter, and withdrawing the inserter, so that the full suture body of the full suture outer anchor is left in the bone canal, and the traction ends and the free ends of the first traction wire and the second traction wire are left outside the bone canal to connect the inner row suture;
step 3, connecting the free end of the inner row nail suture with the loop of the first traction wire, pulling the free end of the first traction wire to introduce the inner row nail suture into the whole suture nail body of the whole suture outer row anchor and replace the position of the first traction wire to form a new first wire loop, removing the first traction wire, and tightening the free end of the inner row nail suture until the inner row nail suture between the inner row nail and the whole suture nail body is stressed straight;
and 4, continuing to connect the free end of the inner row of anchor sutures with the ring buckle of the second traction wire, pulling the free end of the second traction wire to reintroduce the inner row of anchor sutures into the whole suture nail body and replace the position of the second traction wire to form a new second wire ring, enabling the first wire ring and the second wire ring formed by the inner row of anchor sutures to mutually pass through to form a new locking knot, simultaneously removing the second traction pin, stretching the free end of the inner row of anchor sutures until the locking knot formed by the first wire ring and the second wire ring is completely locked, shearing off redundant parts of the inner row of anchor sutures, and finishing the fixation of the outer row of anchor nails of the whole suture.
The method is adopted to fix the inner row nail suture on the outer row nail, the operation mode of firstly implanting and then leading the suture can be used for replacing the first traction wire and the second traction wire with the inner row nail suture in sequence, so that the inner row nail suture replaces a wire ring structure formed by the traction wire in the whole suture nail body, the occurrence of the conditions of slipping or scattering and the like of the inner row nail suture is effectively prevented, the realizability of operation is ensured, the inner row nail suture is tightly tightened in one direction to form a self-locking structure, the free end of the inner row nail suture is reliably fixed through the sequential locking of the first wire ring and the second wire ring, the operation is more convenient, the knot shape is firmer, the plasticizing effect is generated after the whole suture nail body and the inner row nail suture are tightly molded under the tension effect, the fixing performance is further improved after long-term implantation, and reliable support is provided for soft tissue repair and fixation.
The foregoing is merely illustrative of the present invention, and the present invention is not limited thereto, and any person skilled in the art will readily recognize that variations or substitutions are within the scope of the present invention. Therefore, the protection scope of the present invention shall be subject to the protection scope of the claims.