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CN206007428U - A kind of fracture of calcaneus loaded reset device - Google Patents

A kind of fracture of calcaneus loaded reset device Download PDF

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Publication number
CN206007428U
CN206007428U CN201620441070.5U CN201620441070U CN206007428U CN 206007428 U CN206007428 U CN 206007428U CN 201620441070 U CN201620441070 U CN 201620441070U CN 206007428 U CN206007428 U CN 206007428U
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calcaneus
splints
pressure
plate
splint
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张英泽
郑占乐
常恒瑞
邢欣
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Third Hospital of Hebei Medical University
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Abstract

一种跟骨骨折加压复位器,属于骨科医疗器械技术领域,用于对跟骨骨折的加压复位。其技术方案是:本实用新型采用夹钳式结构,两块夹板的板面平行相对,夹板夹在需要复位的跟骨两侧,握紧两支手柄,两块夹板在跟骨两侧向中间施压,进行跟骨骨折的复位操作,达到纠正跟骨变宽畸形的目的。两块夹板上的压球和弹簧可以对骨折部位有更好的适配性,随着骨折部位的不同高度进行整体均匀的柔性加压,达到更好的加压复位效果。本实用新型是跟骨骨折复位器械的首创,具有结构简单、使用方便、加压均匀可靠、复位效果良好的优点,可以在皮肤、肌肉等软闭合状态下对跟骨骨折进行复位操作,纠正跟骨变宽畸形,避免了传统手术方法的缺陷,为开展微创手术创造了有利条件。

The utility model relates to a pressurized resetter for calcaneus fractures, which belongs to the technical field of orthopedic medical devices and is used for pressurized reduction of calcaneus fractures. The technical solution is: the utility model adopts a clamp structure, the two splints face parallel to each other, the splints are clamped on both sides of the calcaneus that needs to be reset, hold the two handles tightly, and the two splints are on both sides of the calcaneus toward the middle Apply pressure to perform the reduction operation of the fracture of the calcaneus to achieve the purpose of correcting the widened deformity of the calcaneus. The pressure balls and springs on the two splints can have better adaptability to the fracture site, and the overall uniform flexible pressure can be applied to the different heights of the fracture site to achieve a better pressure reduction effect. The utility model is the first creation of a calcaneal fracture reduction device, which has the advantages of simple structure, convenient use, uniform and reliable pressure, and good reset effect. The widened bone deformity avoids the defects of traditional surgical methods and creates favorable conditions for minimally invasive surgery.

Description

一种跟骨骨折加压复位器A kind of calcaneal fracture pressure reduction device

技术领域technical field

本实用新型涉及一种治疗跟骨骨折的加压复位器,属于骨科医疗器械技术领域。The utility model relates to a pressure reduction device for treating calcaneal fractures, which belongs to the technical field of orthopedic medical devices.

背景技术Background technique

跟骨骨折是最常见的跗骨骨折。多因高处坠落或车祸时,足跟部遭受外力撞击所致。其中关节内骨折约占跟骨骨折的60%-75%,若处理不当可导致足部长期疼痛甚至功能缺失。目前,针对跟骨骨折的手术方案主要分为传统切开复位内固定术及微创闭合复位内固定术两种。无论采取何种术式,都必须要恢复跟骨宽度及高度(Bohler’s角),纠正跟骨内、外翻畸形,重建距下关节后关节面的解剖形态。传统切开复位内固定术采取L形外侧扩大切口,虽然有利于骨折复位,但术后感染、皮缘坏死几率高。近年来,随着微创技术在足踝外科中的迅速发展,微创治疗跟骨骨折逐渐成为主流。其主要包括经皮撬拨复位内固定术、有限切开配合牵引复位内固定术、关节镜辅助复位内固定术以及经皮球囊扩张术等。然而,目前临床工作中尚未出现可用于闭合复位跟骨变宽畸形的手术器械,术者往往要借助徒手挤压进行矫正复位,但常因力量不够难以达到满意的复位效果,这也成为制约微创治疗跟骨骨折的主要因素。因此,开发出针对跟骨变宽畸形的复位器械是十分有必要。Calcaneal fractures are the most common tarsal fractures. Mostly due to falling from a height or a car accident, the heel is hit by an external force. Among them, intra-articular fractures account for about 60%-75% of calcaneal fractures, and improper treatment can lead to long-term pain and even loss of function of the foot. At present, the surgical options for calcaneal fractures are mainly divided into traditional open reduction and internal fixation and minimally invasive closed reduction and internal fixation. Regardless of the surgical procedure, it is necessary to restore the width and height of the calcaneus (Bohler’s angle), correct the varus and valgus deformities of the calcaneus, and reconstruct the anatomical shape of the posterior articular surface of the subtalar joint. Traditional open reduction and internal fixation adopts an L-shaped lateral enlarged incision. Although it is beneficial to fracture reduction, the risk of postoperative infection and skin necrosis is high. In recent years, with the rapid development of minimally invasive techniques in foot and ankle surgery, minimally invasive treatment of calcaneal fractures has gradually become the mainstream. It mainly includes percutaneous poking reduction and internal fixation, limited incision combined with traction reduction and internal fixation, arthroscopic assisted reduction and internal fixation, and percutaneous balloon dilatation. However, there is no surgical instrument that can be used for closed reduction of widened calcaneus deformity in clinical work so far. Surgeons often need to use manual compression to correct and reduce, but it is often difficult to achieve a satisfactory reduction effect due to insufficient strength, which has also become a constraint. The main factor in the invasive treatment of calcaneal fractures. Therefore, it is very necessary to develop a reduction instrument for the widening deformity of the calcaneus.

实用新型内容Utility model content

本实用新型所要解决的技术问题是提供一种跟骨骨折加压复位器,这种加压复位器在保持皮肤、肌肉等软组织完好的状态下对跟骨骨折进行复位操作,纠正跟骨变宽畸形,以避免传统手术方法的缺陷,为开展微创手术创造更多的有利条件。The technical problem to be solved by the utility model is to provide a pressurized resetter for calcaneal fractures. This pressurized resetter can perform reset operations on calcaneal fractures while keeping soft tissues such as skin and muscles intact, and correct the widening of the calcaneus. To avoid the defects of traditional surgical methods and create more favorable conditions for minimally invasive surgery.

解决上述技术问题的技术方案是:The technical scheme that solves the above-mentioned technical problem is:

一种跟骨骨折加压复位器,它包括夹板、手柄、转轴、压球、弹簧,两块夹板为长方形,两块夹板分别与两支手柄相连接,两支手柄在连接处交叉,交叉处由转轴相连接形成夹钳式结构,转轴一侧的两块夹板的板面平行相对,转轴另一侧的两支手柄相对,在两块夹板的相对板面上分别有多个圆孔均布,圆孔中嵌装有压球,压球的下端有弹簧。A pressurized resetter for calcaneus fractures, which includes a splint, a handle, a rotating shaft, a pressure ball, and a spring. The two splints are rectangular, and the two splints are respectively connected with two handles. The clamp structure is formed by the connection of the rotating shaft. The two splints on one side of the rotating shaft face each other in parallel, and the two handles on the other side of the rotating shaft face each other. There are a number of round holes evenly distributed on the opposite plates of the two splints. , a pressing ball is embedded in the circular hole, and a spring is arranged at the lower end of the pressing ball.

上述跟骨骨折加压复位器,所述圆孔的内径与压球相匹配,圆孔的孔口处沿着孔口内壁有螺纹,孔口处有圆环,圆环的外周有螺纹与孔口圆周螺纹相匹配,圆环旋在圆孔的孔口处,圆环的上平面与夹板平面齐平,圆环的内孔直径小于压球的直径,压球的上端凸出在圆环的上平面上方。In the above-mentioned pressurized resetter for calcaneal fractures, the inner diameter of the circular hole matches the pressure ball, the orifice of the circular hole is threaded along the inner wall of the orifice, the orifice is provided with a ring, and the outer circumference of the ring has threads and holes The ring is screwed on the opening of the round hole, the upper plane of the ring is flush with the plane of the splint, the diameter of the inner hole of the ring is smaller than the diameter of the pressure ball, and the upper end of the pressure ball protrudes from the surface of the ring. above the upper plane.

上述跟骨骨折加压复位器,所述两块夹板相对的板面上分别有压板,压板的板面面积与夹板的板面面积相对应,压板板面上有多个圆孔与夹板板面的圆孔一一相对,压板板面的圆孔直径小于压球的直径,压球的上端凸出在压板板面的上平面上方,压板与夹板板面由螺栓连接为一体。In the above-mentioned pressurized resetter for calcaneus fractures, there are pressure plates on the opposite plate surfaces of the two splints respectively, the plate surface area of the pressure plate corresponds to the plate surface area of the splint, and there are a plurality of round holes on the plate surface of the pressure plate and The circular holes of the pressing plate are opposite one by one, the diameter of the circular hole on the pressing plate surface is less than the diameter of the pressing ball, the upper end of the pressing ball protrudes above the upper plane of the pressing plate, and the pressing plate and the clamping plate are connected as one by bolts.

本实用新型的有益效果是:The beneficial effects of the utility model are:

本实用新型采用夹钳式结构,两块夹板的板面平行相对,夹板夹在需要复位的跟骨两侧,握紧两支手柄,两块夹板在跟骨两侧向中间施压,进行跟骨骨折的复位操作,达到纠正跟骨变宽畸形的目的,同时通过沿跟骨长轴的来回推挤,使凹凸不平变宽的跟骨恢复原来的宽度。两块夹板上的压球和弹簧可以对骨折部位有更好的适配性,随着骨折部位的不同高度进行整体均匀的柔性加压,达到更好的加压复位效果。The utility model adopts a clamp-type structure, and the two splints face parallel to each other. The splints are clamped on both sides of the calcaneus that needs to be reset, and the two handles are held tightly. The reduction operation of the bone fracture achieves the purpose of correcting the widening deformity of the calcaneus, and at the same time pushes back and forth along the long axis of the calcaneus to restore the uneven and widened calcaneus to its original width. The pressure balls and springs on the two splints can have better adaptability to the fracture site, and the overall uniform and flexible pressure can be performed with the different heights of the fracture site to achieve a better pressure reduction effect.

本实用新型是跟骨骨折复位器械的首创,具有结构简单、使用方便、加压均匀可靠、复位效果良好的优点,可以在保持皮肤、肌肉等软组织闭合的状态下对跟骨骨折进行复位操作,纠正跟骨变宽畸形,避免了传统手术方法的缺陷,为开展微创手术创造了有利条件。The utility model is the first creation of a calcaneal fracture reduction device, which has the advantages of simple structure, convenient use, uniform and reliable pressure, and good reset effect. Correcting the widening deformity of the calcaneus avoids the defects of traditional surgical methods and creates favorable conditions for minimally invasive surgery.

附图说明Description of drawings

图1是本实用新型的结构示意图;Fig. 1 is the structural representation of the utility model;

图2是图1的一种结构的剖视图;Fig. 2 is a cross-sectional view of a structure of Fig. 1;

图3是图1的另一种结构的剖视图。FIG. 3 is a cross-sectional view of another structure of FIG. 1 .

图中标记如下:夹板1、手柄2、转轴3、压球4、弹簧5、圆环6、压板7。The marks in the figure are as follows: splint 1, handle 2, rotating shaft 3, pressing ball 4, spring 5, ring 6, pressing plate 7.

具体实施方式detailed description

本实用新型包括夹板1、手柄2、转轴3、压球4、弹簧5。The utility model comprises splint 1, handle 2, rotating shaft 3, pressing ball 4, spring 5.

图中显示,两块夹板1为长方形,两块夹板1分别与两支手柄2相连接,两支手柄2在连接处交叉,交叉处由转轴3相连接形成夹钳式结构,转轴3一侧的两块夹板1的板面平行相对,转轴3另一侧的两支手柄2相对。握紧两支手柄2,两块夹板1通过转轴3向中间移动,可以对放置在两块夹板1中间的跟骨两侧施压,进行跟骨骨折的复位操作,达到纠正跟骨变宽畸形的目的。As shown in the figure, the two splints 1 are rectangular, and the two splints 1 are respectively connected with the two handles 2. The two handles 2 cross at the junction, and the intersections are connected by the rotating shaft 3 to form a clamp structure. One side of the rotating shaft 3 The board faces of the two splints 1 are parallel and opposite, and the two handles 2 on the other side of the rotating shaft 3 are opposite. Hold the two handles 2 tightly, and the two splints 1 move to the middle through the rotating shaft 3, which can put pressure on both sides of the calcaneus placed between the two splints 1, and perform the reduction operation of the calcaneus fracture, so as to correct the widening deformity of the calcaneus the goal of.

图中显示,在两块夹板1的相对板面上分别有多个圆孔均布,圆孔中嵌装有压球4,压球4的下端有弹簧5。两块夹板1上的压球4和弹簧5可以对骨折部位有更好的适配性,随着骨折部位的不同高度进行整体均匀的柔性加压,达到更好的加压复位效果。As shown in the figure, there are a plurality of round holes evenly distributed on the opposite board surfaces of the two splints 1 respectively, and pressure balls 4 are embedded in the round holes, and springs 5 are arranged at the lower ends of the pressure balls 4 . The pressure ball 4 and the spring 5 on the two splints 1 can have better adaptability to the fracture site, and can perform overall uniform flexible pressure with different heights of the fracture site, so as to achieve a better pressure reduction effect.

上述压球4和弹簧5的安装结构有多种,其中两种如下所述。There are multiple installation structures for the pressure ball 4 and the spring 5, two of which are as follows.

图中显示,一种结构是夹板1板面上放置压球4和弹簧5的圆孔由圆环6封堵。具体结构是,圆孔的孔口处沿着孔口内壁有螺纹,孔口处安装圆环6,圆环6的外周有螺纹与孔口圆周螺纹相匹配,圆环6旋在圆孔的孔口处,圆环6的上平面与夹板1平面齐平。圆环6的内孔直径小于压球4的直径,使得压球4不会从圆环6向外脱出,同时圆环6的内孔径又要使压球4的上端凸出在圆环6的上平面上方,以便压球4能够对跟骨加压。Shown in the figure, a kind of structure is that the circular hole that places pressure ball 4 and spring 5 on the plate surface of splint 1 is blocked by circular ring 6. Concrete structure is, the orifice place of round hole has thread along the inner wall of orifice, and annulus 6 is installed at the orifice, and the outer circumference of annulus 6 has screw thread to match with orifice circumferential thread, and annulus 6 is screwed on the hole of round hole. At the mouth, the upper plane of the ring 6 is flush with the plane of the splint 1. The diameter of the inner hole of the ring 6 is smaller than the diameter of the pressure ball 4, so that the pressure ball 4 will not protrude from the ring 6, and the inner diameter of the ring 6 will make the upper end of the pressure ball 4 protrude from the edge of the ring 6. Above the upper plane so that the pressure ball 4 can pressurize the calcaneus.

图中显示,另一种结构是夹板1板面上放置压球4和弹簧5的圆孔由压板7封堵。具体结构是,两块夹板1相对的板面上分别有压板7,压板7的板面面积与夹板1的板面面积相对应,压板7板面上有多个圆孔与夹板1板面的圆孔一一相对,压板7板面的圆孔直径小于压球4的直径,压球4的上端凸出在压板7板面的上平面上方,压板7与夹板1板面由螺栓连接为一体。Shown in the figure, another kind of structure is that the circular hole that places pressure ball 4 and spring 5 on the plate surface of splint 1 is blocked by pressure plate 7. The specific structure is that two clamping plates 1 have pressing plates 7 on the opposite plate surfaces respectively, and the plate surface area of the pressing plates 7 corresponds to the plate area of the clamping plate 1, and there are a plurality of round holes on the plate surface of the pressing plate 7 and the gap between the plate surface of the clamping plate 1. The round holes are opposite one by one, the diameter of the round hole on the plate surface of the pressure plate 7 is smaller than the diameter of the pressure ball 4, the upper end of the pressure ball 4 protrudes above the upper plane of the plate surface of the pressure plate 7, and the pressure plate 7 and the plate surface of the splint 1 are connected as a whole by bolts .

Claims (3)

1.一种跟骨骨折加压复位器,其特征在于:它包括夹板(1)、手柄(2)、转轴(3)、压球(4)、弹簧(5),两块夹板(1)为长方形,两块夹板(1)分别与两支手柄(2)相连接,两支手柄(2)在连接处交叉,交叉处由转轴(3)相连接形成夹钳式结构,转轴(3)一侧的两块夹板(1)的板面平行相对,转轴(3)另一侧的两支手柄(2)相对,在两块夹板(1)的相对板面上分别有多个圆孔均布,圆孔中嵌装有压球(4),压球(4)的下端有弹簧(5)。1. A pressurized resetter for calcaneal fractures, characterized in that it includes a splint (1), a handle (2), a rotating shaft (3), a pressure ball (4), a spring (5), and two splints (1) It is rectangular, and two splints (1) are respectively connected with two handles (2), and the two handles (2) cross at the joint, and the intersection is connected by a rotating shaft (3) to form a clamp structure, and the rotating shaft (3) The board surfaces of the two splints (1) on one side are parallel to each other, and the two handles (2) on the other side of the rotating shaft (3) are opposite to each other. Cloth, a pressing ball (4) is embedded in the circular hole, and a spring (5) is arranged at the lower end of the pressing ball (4). 2.根据权利要求1所述的跟骨骨折加压复位器,其特征在于:所述圆孔的内径与压球(4)相匹配,圆孔的孔口处沿着孔口内壁有螺纹,孔口处有圆环(6),圆环(6)的外周有螺纹与孔口圆周螺纹相匹配,圆环(6)旋在圆孔的孔口处,圆环(6)的上平面与夹板(1)平面齐平,圆环(6)的内孔直径小于压球(4)的直径,压球(4)的上端凸出在圆环(6)的上平面上方。2. The pressurized resetter for calcaneal fracture according to claim 1, characterized in that: the inner diameter of the circular hole matches the pressure ball (4), and the orifice of the circular hole is threaded along the inner wall of the orifice. There is a circular ring (6) at the orifice, and the outer circumference of the circular ring (6) is threaded to match the circumferential thread of the aperture. The circular ring (6) is screwed at the aperture of the circular hole, and the upper plane of the circular ring (6) is aligned The plane of the splint (1) is flush, the diameter of the inner hole of the ring (6) is smaller than the diameter of the pressure ball (4), and the upper end of the pressure ball (4) protrudes above the upper plane of the ring (6). 3.根据权利要求1所述的跟骨骨折加压复位器,其特征在于:所述两块夹板(1)相对的板面上分别有压板(7),压板(7)的板面面积与夹板(1)的板面面积相对应,压板(7)板面上有多个圆孔与夹板(1)板面的圆孔一一相对,压板(7)板面的圆孔直径小于压球(4)的直径,压球(4)的上端凸出在压板(7)板面的上平面上方,压板(7)与夹板(1)板面由螺栓连接为一体。3. The pressurized resetter for calcaneal fracture according to claim 1, characterized in that: there are pressure plates (7) on the opposite surface of the two splints (1), and the area of the plate surface of the pressure plate (7) is the same as The surface area of the splint (1) corresponds to the surface area of the clamping plate (7). There are multiple round holes on the surface of the clamping plate (7) that are opposite to the circular holes on the surface of the splint (1). (4), the upper end of the pressure ball (4) protrudes above the upper plane of the pressing plate (7) plate surface, and the pressing plate (7) and the splint (1) plate surface are connected as one by bolts.
CN201620441070.5U 2016-05-16 2016-05-16 A kind of fracture of calcaneus loaded reset device Active CN206007428U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105943219A (en) * 2016-05-16 2016-09-21 河北医科大学第三医院 Calcaneus bone fracture compression restoration device

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105943219A (en) * 2016-05-16 2016-09-21 河北医科大学第三医院 Calcaneus bone fracture compression restoration device

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