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CN221786576U - Ankle facet joint fusion guider - Google Patents

Ankle facet joint fusion guider Download PDF

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Publication number
CN221786576U
CN221786576U CN202322937972.0U CN202322937972U CN221786576U CN 221786576 U CN221786576 U CN 221786576U CN 202322937972 U CN202322937972 U CN 202322937972U CN 221786576 U CN221786576 U CN 221786576U
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hole
guide
positioning
ankle
guide sleeve
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许灿
楚兆平
李慧
潘春昂
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Hunan Zhongzhi Wenda Medical Technology Co ltd
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Hunan Zhongzhi Wenda Medical Technology Co ltd
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Abstract

The utility model discloses an ankle facet joint fusion guide, which comprises: the structure body plays a role of installation and support and is held by an operator, and a positioning hole and a mounting hole which are arranged in a penetrating way are arranged on the structure body. The locating hole is equipped with the locating lever that extends along its axial and sets up, and the locating lever is used for inserting in the joint gap of patient's foot, perhaps drives into patient's foot bone in order to realize ankle joint facet joint fusion director's location. The installation hole is equipped with the guide sleeve subassembly that extends along its axial and sets up, and the tip of guide sleeve subassembly is used for aiming at the hollow nail on the patient's bone tissue and puts into the point, still is equipped with the guiding hole that runs through along its axial in the guide sleeve subassembly and sets up, and the guiding hole is used for inserting the guide pin that is used for guiding hollow nail. The novel guide can enable the hollow nails to be driven into more easily, the driving position is accurate, the positioning precision is high, and the fixing pins for jointing the bone plates and temporarily acting are not needed to be additionally arranged, so that the guide has a simple integral structure and is easy to position and operate.

Description

足踝小关节融合导向器Ankle facet joint fusion guide

技术领域Technical Field

本实用新型涉及医疗器械技术领域,特别地,涉及一种足踝小关节融合导向器。The utility model relates to the technical field of medical devices, in particular to a foot and ankle facet joint fusion guide.

背景技术Background Art

僵硬性平足、舟骨坏死、夏科足等疾病通常会导致距舟关节炎,患者在行走站立时会感到足内侧疼痛,严重时导致跛行,影响患者行走功能。通过距舟关节融合手术可以有效治疗距舟关节炎,缓解疼痛,使患者恢复正常行走功能。Diseases such as rigid flat feet, navicular necrosis, and Charcot foot usually lead to talonavicular arthritis. Patients will feel pain on the inside of the foot when walking or standing. In severe cases, it will lead to lameness and affect the patient's walking function. Talonavicular joint fusion surgery can effectively treat talonavicular arthritis, relieve pain, and restore the patient's normal walking function.

现有技术中,距舟关节融合可以通过多种固定方式实现,包括内固定螺钉、U型固定钉、接骨板联合内固定螺钉等。但是由于足踝小关节特殊结构,采用内固定螺钉进行距舟关节融合手术时需要将固定螺钉(例如空心钉)以一定角度穿过关节面,在定位螺钉方向时存在一定难度;而对于接骨板联合内固定螺钉的固定方式,由于两种固定材料存在相互干涉的可能性,更加需要准确的定位,对术者经验要求较高。In the prior art, talonavicular joint fusion can be achieved through a variety of fixation methods, including internal fixation screws, U-shaped fixation nails, bone plates combined with internal fixation screws, etc. However, due to the special structure of the small joints of the foot and ankle, when using internal fixation screws for talonavicular joint fusion surgery, the fixation screws (such as hollow screws) need to be passed through the joint surface at a certain angle, which makes it difficult to locate the direction of the screws; and for the fixation method of bone plates combined with internal fixation screws, due to the possibility of mutual interference between the two fixing materials, more accurate positioning is required, which requires higher experience of the surgeon.

实用新型内容Utility Model Content

本实用新型提供了一种足踝小关节融合导向器,以解决现有技术中存在的定位固定螺钉方向时存在一定难度的技术问题。The utility model provides a foot and ankle facet joint fusion guide to solve the technical problem of certain difficulty in positioning the direction of a fixing screw in the prior art.

本实用新型采用的技术方案如下:The technical solution adopted by the utility model is as follows:

一种足踝小关节融合导向器,包括:起安装支撑作用并供操作者握持的结构主体,结构主体上设有贯通设置的定位孔和安装孔;定位孔中装设有沿其轴向延伸设置的定位杆,定位杆用于插入患者足部的关节缝隙中,或打入患者的足骨中,以实现足踝小关节融合导向器的定位;安装孔中装设有沿其轴向延伸设置的导向套筒组件,导向套筒组件的端部用于对准患者骨组织上的空心钉置入点,导向套筒组件内还设有沿其轴向贯通设置的导向孔,导向孔用于插入用于导向空心钉的导针。A foot and ankle facet joint fusion guide, comprising: a structural main body that serves as an installation support and is held by an operator, the structural main body being provided with a positioning hole and a mounting hole that are through-set; a positioning rod that is axially extended is installed in the positioning hole, the positioning rod is used to be inserted into the joint gap of the patient's foot, or driven into the patient's foot bone, so as to achieve the positioning of the foot and ankle facet joint fusion guide; a guide sleeve assembly that is axially extended is installed in the mounting hole, the end of the guide sleeve assembly is used to align with a hollow nail insertion point on the patient's bone tissue, and a guide hole that is axially extended is also provided in the guide sleeve assembly, the guide hole is used to insert a guide pin for guiding the hollow nail.

进一步地,结构主体包括弧线状设置的连接臂,及分别连接于连接臂第一端和第二端的第一连接座和第二连接座;定位孔贯穿第一连接座设置,安装孔贯穿第二连接座设置,且定位孔与安装孔相垂直设置。Furthermore, the structural body includes an arc-shaped connecting arm, and a first connecting seat and a second connecting seat respectively connected to the first end and the second end of the connecting arm; the positioning hole is set through the first connecting seat, the mounting hole is set through the second connecting seat, and the positioning hole is set perpendicular to the mounting hole.

进一步地,定位杆为外圆面上加工有外螺纹的定位螺钉,定位孔的内壁上加工有与外螺纹配合的内螺纹,定位螺钉螺纹装设于定位孔中,以用于插入患者足部的关节缝隙中定位结构主体;或者,定位杆为针状设置的定位针,定位针限位插设于定位孔中,以用于打入患者的足骨中定位结构主体。Furthermore, the positioning rod is a positioning screw with an external thread processed on the outer circumferential surface, and the inner wall of the positioning hole is processed with an internal thread matching the external thread. The positioning screw thread is installed in the positioning hole to be inserted into the joint gap of the patient's foot to position the structural body; or, the positioning rod is a needle-shaped positioning needle, and the positioning needle is limitedly inserted into the positioning hole to be driven into the patient's foot bone to position the structural body.

进一步地,导向套筒组件包括沿轴向固定插设于安装孔中的第一导向套筒;第一导向套筒内设有沿轴向贯穿其设置的第一导向孔,第一导向孔用于插入用于导向空心钉的第一导针。Furthermore, the guide sleeve assembly includes a first guide sleeve fixedly inserted in the mounting hole along the axial direction; a first guide hole is provided in the first guide sleeve and penetrates the first guide sleeve along the axial direction, and the first guide hole is used to insert a first guide pin for guiding the hollow nail.

进一步地,导向套筒组件还包括沿轴向插入第一导向孔中的第二导向套筒,第二导向套筒内设有沿轴向贯穿其设置的第二导向孔;第二导向孔同轴连通第一导向孔,且第二导向孔的孔径小于第一导向孔的孔径,第二导向孔用于插入用于导向空心钉且直径小于第一导针直径的第二导针。Furthermore, the guide sleeve assembly also includes a second guide sleeve axially inserted into the first guide hole, and the second guide sleeve is provided with a second guide hole axially penetrating therethrough; the second guide hole is coaxially connected to the first guide hole, and the aperture of the second guide hole is smaller than the aperture of the first guide hole, and the second guide hole is used to insert a second guide needle for guiding the hollow nail and having a diameter smaller than the diameter of the first guide needle.

进一步地,结构主体还包括手持柄,手持柄与连接臂的第二端固定;导向套筒组件还包括与第一导向套筒固定的把手,把手间距布设于手持柄的上方。Furthermore, the main body of the structure also includes a hand-held handle, which is fixed to the second end of the connecting arm; the guide sleeve assembly also includes a handle fixed to the first guide sleeve, and the handle is arranged above the hand-held handle.

进一步地,足踝小关节融合导向器还包括接骨板,及用于安装接骨板的安装架;安装架可拆卸式固定于连接臂上;接骨板可拆卸式连接于安装架的下端,且接骨板的两端分别设有贯穿板面设置的第一通孔和第二通孔,以对需打入需融合关节面两端的骨组织中的两根内固定螺钉分别进行限位。Furthermore, the ankle facet joint fusion guide also includes a bone plate and a mounting frame for mounting the bone plate; the mounting frame is detachably fixed to the connecting arm; the bone plate is detachably connected to the lower end of the mounting frame, and the two ends of the bone plate are respectively provided with a first through hole and a second through hole set through the plate surface, so as to limit the two internal fixation screws that need to be driven into the bone tissue at both ends of the joint surface to be fused.

进一步地,安装架包括连接件、连接螺钉及连接销;连接件的侧壁上设有内凹的卡口,连接件通过卡口卡持于连接臂上;连接螺钉穿设连接件和连接臂,以将连接件可拆卸式固定于连接臂上;连接销穿设连接件后其底端连接接骨板,以可拆卸式安装接骨板。Furthermore, the mounting frame includes a connecting piece, a connecting screw and a connecting pin; an inwardly recessed bayonet is provided on the side wall of the connecting piece, and the connecting piece is clamped on the connecting arm through the bayonet; the connecting screw passes through the connecting piece and the connecting arm to detachably fix the connecting piece on the connecting arm; after the connecting pin passes through the connecting piece, its bottom end is connected to the bone plate to detachably install the bone plate.

进一步地,连接件包括连接筒,及垂直连接于连接筒上下两端面上的两块连接板,两块连接板之间的间距形成卡口;两块连接板上分别设有贯穿板面设置的第一连接孔,且至少一个第一连接孔为螺纹孔,连接螺钉的端部穿设其中一个第一连接孔和连接臂上开设的通孔后,其端部与另一个设有内螺纹的第一连接孔螺纹连接;两块连接板的悬臂端上还各设有贯穿板面设置的第二连接孔,连接筒内还设有沿轴向贯穿其设置的第三连接孔,连接销穿设两个第二连接孔或第三连接孔后连接接骨板。Furthermore, the connecting piece includes a connecting tube and two connecting plates vertically connected to the upper and lower end surfaces of the connecting tube, and the spacing between the two connecting plates forms a bayonet; the two connecting plates are respectively provided with first connecting holes set through the plate surface, and at least one first connecting hole is a threaded hole, and after the end of the connecting screw passes through one of the first connecting holes and the through hole opened on the connecting arm, its end is threadedly connected to the other first connecting hole with an internal thread; the cantilever ends of the two connecting plates are also respectively provided with a second connecting hole set through the plate surface, and the connecting tube is also provided with a third connecting hole set axially therethrough, and the connecting pin is connected to the bone plate after passing through the two second connecting holes or the third connecting hole.

进一步地,连接筒位于两块连接板之间的内壁面上设有斜面;斜面用于与连接臂的外侧边贴合,以使接骨板与连接臂呈夹角相交,进而避免接骨板与导向套筒组件平行。Furthermore, a bevel is provided on the inner wall surface of the connecting tube between the two connecting plates; the bevel is used to fit with the outer side of the connecting arm so that the bone plate and the connecting arm intersect at an angle, thereby avoiding the bone plate and the guide sleeve assembly being parallel.

本实用新型具有以下有益效果:The utility model has the following beneficial effects:

采用本实用新型的足踝小关节融合导向器进行手术操作时,首先通过定位杆对整个融合导向器装置进行定位,同时配合导向套筒组件的端部顶抵对准患者骨组织上用于空心钉置入的置入点,以使整个装置在定位准确的前提下能够更稳定支靠,以提高导针打入的稳定性及位置的准确性,然后再通过导向套筒组件内的导向孔,对导针的打入方向进行定位,以精确打入患者足部需要融合的关节面内,从而使空心钉更容易打入且打入位置准确、定位精度高;另一方面,采用本实用新型的足踝小关节融合导向器进行手术操作时,仅采用定位杆对整个导向器装置进行定位,即采用定位杆实现单独定位,从而本实用新型的融合导向器整体结构简单、容易定位操作。When the foot and ankle facet joint fusion guide of the present invention is used for surgical operation, the entire fusion guide device is first positioned by the positioning rod, and at the same time, the end of the guide sleeve assembly is used to press against the insertion point on the patient's bone tissue for hollow nail insertion, so that the entire device can be supported more stably under the premise of accurate positioning, so as to improve the stability of the guide needle insertion and the accuracy of the position, and then the insertion direction of the guide needle is positioned through the guide hole in the guide sleeve assembly to accurately drive the guide needle into the joint surface of the patient's foot that needs to be fused, so that the hollow nail is easier to drive and the insertion position is accurate and the positioning accuracy is high; on the other hand, when the foot and ankle facet joint fusion guide of the present invention is used for surgical operation, only the positioning rod is used to position the entire guide device, that is, the positioning rod is used to achieve separate positioning, so that the overall structure of the fusion guide of the present invention is simple and easy to position.

除了上面所描述的目的、特征和优点之外,本实用新型还有其它的目的、特征和优点。下面将参照图,对本实用新型作进一步详细的说明。In addition to the above-described purposes, features and advantages, the present invention has other purposes, features and advantages. The present invention will be further described in detail with reference to the accompanying drawings.

附图说明BRIEF DESCRIPTION OF THE DRAWINGS

构成本申请的一部分的附图用来提供对本实用新型的进一步理解,本实用新型的示意性实施例及其说明用于解释本实用新型,并不构成对本实用新型的不当限定。在附图中:The drawings constituting a part of this application are used to provide a further understanding of the present invention. The illustrative embodiments of the present invention and their descriptions are used to explain the present invention and do not constitute an improper limitation on the present invention. In the drawings:

图1是本实用新型优选实施例的足踝小关节融合导向器示意图一;FIG1 is a schematic diagram of a guide for ankle facet joint fusion according to a preferred embodiment of the present invention;

图2是本实用新型优选实施例的足踝小关节融合导向器示意图二;FIG2 is a second schematic diagram of the ankle facet joint fusion guide device according to a preferred embodiment of the present invention;

图3是本实用新型优选实施例的足踝小关节融合导向器示意图三;FIG3 is a third schematic diagram of the ankle facet joint fusion guide according to a preferred embodiment of the present invention;

图4是本实用新型优选实施例的足踝小关节融合导向器示意图四;FIG4 is a fourth schematic diagram of the ankle facet joint fusion guide device according to a preferred embodiment of the present invention;

图5是本实用新型优选实施例的足踝小关节融合导向器中连接件示意图;5 is a schematic diagram of a connecting member in a foot and ankle facet joint fusion guide according to a preferred embodiment of the present invention;

图6是本实用新型优选实施例的足踝小关节融合导向器中连接销示意图。FIG. 6 is a schematic diagram of a connecting pin in a foot and ankle facet joint fusion guide according to a preferred embodiment of the present invention.

图例说明Legend

10、结构主体;11、连接臂;12、第一连接座;13、第二连接座;14、手持柄;20、定位杆;30、导向套筒组件;31、第一导向套筒;311、定位齿;32、第二导向套筒;33、把手;40、接骨板;401、第一通孔;402、第二通孔;50、安装架;51、连接件;511、连接筒;512、连接板;513、第一连接孔;514、第二连接孔;515、第三连接孔;516、斜面;52、连接螺钉;53、连接销。10. Structural body; 11. Connecting arm; 12. First connecting seat; 13. Second connecting seat; 14. Handle; 20. Positioning rod; 30. Guide sleeve assembly; 31. First guide sleeve; 311. Positioning tooth; 32. Second guide sleeve; 33. Handle; 40. Bone plate; 401. First through hole; 402. Second through hole; 50. Mounting frame; 51. Connecting piece; 511. Connecting tube; 512. Connecting plate; 513. First connecting hole; 514. Second connecting hole; 515. Third connecting hole; 516. Inclined surface; 52. Connecting screw; 53. Connecting pin.

具体实施方式DETAILED DESCRIPTION

以下结合附图对本实用新型的实施例进行详细说明,但是本实用新型可以由下述所限定和覆盖的多种不同方式实施。The embodiments of the present invention are described in detail below in conjunction with the accompanying drawings. However, the present invention can be implemented in a variety of different ways as defined and covered below.

参照图1-2,本实用新型的优选实施例提供了一种足踝小关节融合导向器,包括:起安装支撑作用并供操作者握持的结构主体10,结构主体10上设有贯通设置的定位孔和安装孔。定位孔中装设有沿其轴向延伸设置的定位杆20,定位杆20用于插入患者足部的关节缝隙中,或打入患者的足骨中,以实现足踝小关节融合导向器的定位。安装孔中装设有沿其轴向延伸设置的导向套筒组件30,导向套筒组件30的端部用于对准患者骨组织上的空心钉置入点,导向套筒组件30内还设有沿其轴向贯通设置的导向孔,导向孔用于插入用于导向空心钉的导针。1-2, a preferred embodiment of the utility model provides a foot and ankle facet joint fusion guide, comprising: a structural body 10 that serves as an installation support and is held by an operator, and a positioning hole and a mounting hole that are set through the structural body 10. A positioning rod 20 that extends along its axial direction is installed in the positioning hole, and the positioning rod 20 is used to be inserted into the joint gap of the patient's foot, or driven into the patient's foot bone, so as to achieve the positioning of the foot and ankle facet joint fusion guide. A guide sleeve assembly 30 that extends along its axial direction is installed in the mounting hole, and the end of the guide sleeve assembly 30 is used to align with the hollow nail insertion point on the patient's bone tissue. A guide hole that is set through its axial direction is also provided in the guide sleeve assembly 30, and the guide hole is used to insert a guide needle for guiding the hollow nail.

采用本实用新型的足踝小关节融合导向器进行手术操作时,首先握持结构主体10使导向套筒组件30的端部对准患者骨组织上的空心钉置入点,然后再将定位杆20插入患者足部的关节缝隙中,或直接打入患者的足骨中,以定位本实用新型的融合导向器,接着微调结构主体10使导向套筒组件30的端部对准患者骨组织上的空心钉置入点并贴紧;然后将用于导向空心钉的导针插入导向套筒组件30的导向孔中,并再通过外置设备将导针打入需要融合的关节面中;最后取下本实用新型的足踝小关节融合导向器,并通过导针将空心钉置入需要融合的关节面中并取出导针。When the foot and ankle facet joint fusion guide of the present invention is used for surgical operation, the structural body 10 is first held to align the end of the guide sleeve assembly 30 with the hollow nail insertion point on the patient's bone tissue, and then the positioning rod 20 is inserted into the joint gap of the patient's foot, or directly driven into the patient's foot bone to position the fusion guide of the present invention, and then the structural body 10 is fine-tuned to align the end of the guide sleeve assembly 30 with the hollow nail insertion point on the patient's bone tissue and fit tightly; then the guide needle for guiding the hollow nail is inserted into the guide hole of the guide sleeve assembly 30, and then the guide needle is driven into the joint surface to be fused through an external device; finally, the foot and ankle facet joint fusion guide of the present invention is removed, and the hollow nail is inserted into the joint surface to be fused through the guide needle and the guide needle is removed.

采用本实用新型的足踝小关节融合导向器进行手术操作时,首先通过定位杆20对整个融合导向器装置进行定位,同时配合导向套筒组件30的端部顶抵对准患者骨组织上用于空心钉置入的置入点,以使整个装置在定位准确的前提下能够更稳定支靠,以提高导针打入的稳定性及位置的准确性,然后再通过导向套筒组件30内的导向孔,对导针的打入方向进行定位,以精确打入患者足部需要融合的关节面内,从而使空心钉更容易打入且打入位置准确、定位精度高;另一方面,采用本实用新型的足踝小关节融合导向器进行手术操作时,仅采用定位杆20对整个导向器装置进行定位,即采用定位杆20实现单独定位,从而本实用新型的融合导向器整体结构简单、容易定位操作。When the foot and ankle facet joint fusion guide of the present invention is used for surgical operation, the entire fusion guide device is first positioned by the positioning rod 20, and at the same time, the end of the guide sleeve assembly 30 is used to press against the insertion point for the hollow nail on the patient's bone tissue, so that the entire device can be more stably supported under the premise of accurate positioning, so as to improve the stability of the guide needle insertion and the accuracy of the position, and then the guide needle is positioned through the guide hole in the guide sleeve assembly 30. The insertion direction of the guide needle is accurately inserted into the joint surface of the patient's foot that needs to be fused, thereby making it easier to insert the hollow nail and the insertion position is accurate with high positioning accuracy; on the other hand, when the foot and ankle facet joint fusion guide of the present invention is used for surgical operation, only the positioning rod 20 is used to position the entire guide device, that is, the positioning rod 20 is used to achieve single positioning, so that the overall structure of the fusion guide of the present invention is simple and easy to position.

可选地,如图1所示,结构主体10包括弧线状设置的连接臂11,及分别连接于连接臂11第一端和第二端的第一连接座12和第二连接座13。定位孔贯穿第一连接座12设置,安装孔贯穿第二连接座13设置,且定位孔与安装孔相垂直设置。本可选方案中,连接臂11为弧线状设置,避免定位杆20与导向套筒组件30设置干涉;本可选方案中,第一连接座12和第二连接座13可以与连接臂11一体成型设置,以增强结构主体10结构的稳定性,也可以是第一连接座12和第二连接座13分别通过连接件与连接臂11可拆卸式连接,以方便更换不同内径的定位孔和安装孔,进而提高结构主体10的适应范围;本可选方案中,定位孔与安装孔相垂直设置,以更容易使导向套筒组件30的端部对准患者骨组织上的空心钉置入点并贴紧,同时为防止后续设置接骨板后内固定螺钉与导针干涉。Optionally, as shown in Fig. 1, the structural body 10 includes an arc-shaped connecting arm 11, and a first connecting seat 12 and a second connecting seat 13 respectively connected to the first end and the second end of the connecting arm 11. The positioning hole is set through the first connecting seat 12, the mounting hole is set through the second connecting seat 13, and the positioning hole is set perpendicular to the mounting hole. In this optional solution, the connecting arm 11 is arranged in an arc shape to avoid interference between the positioning rod 20 and the guide sleeve assembly 30; in this optional solution, the first connecting seat 12 and the second connecting seat 13 can be integrally formed with the connecting arm 11 to enhance the stability of the structure of the main body 10, or the first connecting seat 12 and the second connecting seat 13 can be detachably connected to the connecting arm 11 through connecting pieces, so as to facilitate the replacement of positioning holes and mounting holes with different inner diameters, thereby improving the adaptability of the main body 10; in this optional solution, the positioning hole and the mounting hole are arranged perpendicular to each other, so as to make it easier to align the end of the guide sleeve assembly 30 with the hollow nail insertion point on the patient's bone tissue and fit it tightly, and at the same time to prevent interference between the internal fixation screw and the guide pin after the subsequent setting of the bone plate.

可选地,本实用新型足踝小关节融合导向器的第一实施例,如图1所示,定位杆20为外圆面上加工有外螺纹的定位螺钉,定位孔的内壁上加工有与外螺纹配合的内螺纹,定位螺钉螺纹装设于定位孔中,以用于插入患者足部的关节缝隙中定位结构主体10。使用时,医生将定位螺钉插入患者足部的关节间隙中,即可实现该装置的定位,同时由于定位孔与定位螺钉螺纹连接,故而通过施力结构主体10可使结构主体10相对定位螺钉微转角度,即可使导向套筒组件30的端部对准患者骨组织上的空心钉置入点并贴紧。Optionally, in the first embodiment of the foot and ankle facet joint fusion guide of the utility model, as shown in FIG1 , the positioning rod 20 is a positioning screw with an external thread processed on the outer circumferential surface, and an internal thread matching the external thread is processed on the inner wall of the positioning hole, and the positioning screw thread is installed in the positioning hole to be inserted into the joint gap of the patient's foot to position the structural body 10. When in use, the doctor inserts the positioning screw into the joint gap of the patient's foot to achieve the positioning of the device, and at the same time, because the positioning hole is threadedly connected to the positioning screw, the structural body 10 can be slightly rotated relative to the positioning screw by applying force to the structural body 10, so that the end of the guide sleeve assembly 30 can be aligned with the hollow nail insertion point on the patient's bone tissue and pressed against it.

可选地,本实用新型足踝小关节融合导向器的第二实施例,如图2所示,定位杆20为针状设置的定位针,定位针限位插设于定位孔中,以用于打入患者的足骨中定位结构主体10。使用时,医生将定位针打入患者的足骨中,即可实现该装置的定位,与第一实施例相比,定位针的定位稳定性更好,且可满足任意位置定位的需求;同时,由于定位针限位穿设于定位孔中,如通过固定于定位孔中的塑性件,故而通过施力结构主体10可使结构主体10相对定位针微转角度,从而使导向套筒组件30的端部对准患者骨组织上的空心钉置入点并贴紧。Optionally, in the second embodiment of the foot and ankle facet joint fusion guide of the utility model, as shown in FIG2 , the positioning rod 20 is a positioning needle in a needle-like shape, and the positioning needle is inserted into the positioning hole to be used to insert into the patient's foot bone to position the structural body 10. When in use, the doctor inserts the positioning needle into the patient's foot bone to achieve the positioning of the device. Compared with the first embodiment, the positioning stability of the positioning needle is better and can meet the needs of positioning at any position; at the same time, since the positioning needle is inserted into the positioning hole, such as by a plastic piece fixed in the positioning hole, the structural body 10 can be slightly rotated relative to the positioning needle by applying force to the structural body 10, so that the end of the guide sleeve assembly 30 is aligned with the hollow nail insertion point on the patient's bone tissue and is tightly attached.

可选地,如图1所示,导向套筒组件30包括沿轴向固定插设于安装孔中的第一导向套筒31。第一导向套筒31内设有沿轴向贯穿其设置的第一导向孔,第一导向孔用于插入用于导向空心钉的第一导针。使用时,医生通过旋转定位螺钉,进而调整第一导向套筒31的位置,使第一导向套筒31的端部对准患者骨组织上的空心钉置入点并贴紧,然后将导针插入第一导向孔内并打入需要融合的关节面,为后续空心钉的置入提供导向,通过空心钉对关节面施加一定的压力,以促进关节融合。优选地,如图1所示,第一导向套筒31的端部设置有定位齿311,用于在打入导针时方便定位。Optionally, as shown in FIG1 , the guide sleeve assembly 30 includes a first guide sleeve 31 fixedly inserted in the mounting hole along the axial direction. A first guide hole is provided in the first guide sleeve 31 and runs through it along the axial direction. The first guide hole is used to insert a first guide needle for guiding a hollow nail. When in use, the doctor adjusts the position of the first guide sleeve 31 by rotating the positioning screw, so that the end of the first guide sleeve 31 is aligned with the hollow nail insertion point on the patient's bone tissue and is close to it, and then the guide needle is inserted into the first guide hole and driven into the joint surface to be fused, so as to provide guidance for the subsequent insertion of the hollow nail, and a certain pressure is applied to the joint surface through the hollow nail to promote joint fusion. Preferably, as shown in FIG1 , a positioning tooth 311 is provided at the end of the first guide sleeve 31 for facilitating positioning when the guide needle is inserted.

进一步地,如图1所示,导向套筒组件30还包括沿轴向插入第一导向孔中的第二导向套筒32,第二导向套筒32内设有沿轴向贯穿其设置的第二导向孔。第二导向孔同轴连通第一导向孔,且第二导向孔的孔径小于第一导向孔的孔径,第二导向孔用于插入用于导向空心钉且直径小于第一导针直径的第二导针。实际使用时,可通过叠加不同直径导向孔的导向套筒,从而使导向套筒组件30能够实现对不同直径的导针进行定位导向,进而提高装置的适应范围,且装置整体结构设置简单。Further, as shown in FIG. 1 , the guide sleeve assembly 30 further includes a second guide sleeve 32 inserted into the first guide hole along the axial direction, and a second guide hole is provided in the second guide sleeve 32 and penetrates the second guide sleeve 32 along the axial direction. The second guide hole is coaxially connected to the first guide hole, and the aperture of the second guide hole is smaller than the aperture of the first guide hole. The second guide hole is used to insert a second guide needle for guiding the hollow nail and having a diameter smaller than the diameter of the first guide needle. In actual use, by superimposing guide sleeves with guide holes of different diameters, the guide sleeve assembly 30 can realize positioning and guiding of guide needles of different diameters, thereby improving the adaptability of the device, and the overall structure of the device is simple.

优选地,如图1所示,结构主体10还包括手持柄14,手持柄14与连接臂11的第二端固定;手持柄14用于方便医生握持。导向套筒组件30还包括与第一导向套筒31固定的把手33,把手33间距布设于手持柄14的上方;打入导针时,握住把手33,可以保证打入过程的稳定性,提高导针打入的精度,降低导针打入的难度。Preferably, as shown in FIG1 , the structural body 10 further includes a hand-held handle 14, which is fixed to the second end of the connecting arm 11; the hand-held handle 14 is used for the convenience of the doctor to hold. The guide sleeve assembly 30 further includes a handle 33 fixed to the first guide sleeve 31, and the handle 33 is arranged above the hand-held handle 14 at a distance; when inserting the guide needle, holding the handle 33 can ensure the stability of the insertion process, improve the accuracy of the guide needle insertion, and reduce the difficulty of the guide needle insertion.

可选地,如图3和图4所示,足踝小关节融合导向器还包括接骨板40,及用于安装接骨板40的安装架50。安装架50可拆卸式固定于连接臂11上。接骨板40可拆卸式连接于安装架50的下端,且接骨板40的两端分别设有贯穿板面设置的第一通孔401和第二通孔402,以对需打入需融合关节面两端的骨组织中的两根内固定螺钉分别进行限位。使用时,通过第一通孔401和第二通孔402分别向需融合的关节面两端的骨组织内打入内固定螺钉,从而将需要融合的关节面两端的骨组织固定,进一步促进关节融合。本优选方案中,接骨板40的两端分别设有沿其轴向依次间隔设置的若干个第一通孔401和第二通孔402,以实现需融合关节面两端骨组织不同位置打入内固定螺钉的需求。Optionally, as shown in Figures 3 and 4, the ankle facet joint fusion guide also includes a bone plate 40, and a mounting frame 50 for mounting the bone plate 40. The mounting frame 50 is detachably fixed to the connecting arm 11. The bone plate 40 is detachably connected to the lower end of the mounting frame 50, and the two ends of the bone plate 40 are respectively provided with a first through hole 401 and a second through hole 402 that penetrate the plate surface, so as to limit the two internal fixation screws that need to be driven into the bone tissue at both ends of the joint surface to be fused. When in use, the internal fixation screws are respectively driven into the bone tissue at both ends of the joint surface to be fused through the first through hole 401 and the second through hole 402, so as to fix the bone tissue at both ends of the joint surface to be fused, and further promote joint fusion. In this preferred embodiment, the two ends of the bone plate 40 are respectively provided with a plurality of first through holes 401 and second through holes 402 that are sequentially spaced along the axial direction thereof, so as to realize the need to drive the internal fixation screws into different positions of the bone tissue at both ends of the joint surface to be fused.

本可选方案中,如图3和图4所示,安装架50包括连接件51、连接螺钉52及连接销53。连接件51的侧壁上设有内凹的卡口,连接件51通过卡口卡持于连接臂11上。连接螺钉52穿设连接件51和连接臂11,以将连接件51可拆卸式固定于连接臂11上。连接销53穿设连接件51后其底端连接接骨板40,以可拆卸式安装接骨板40。当需要联合使用接骨板固定时,通过连接螺钉52将安装架50与结构主体10固定连接,并通过连接销53将安装架50与接骨板40固定连接,然后将内固定螺钉穿过接骨板40上的第一通孔401和第二通孔402分别打入需要融合的关节面两端的骨组织中。In this optional solution, as shown in Figures 3 and 4, the mounting frame 50 includes a connecting member 51, a connecting screw 52 and a connecting pin 53. A concave bayonet is provided on the side wall of the connecting member 51, and the connecting member 51 is clamped on the connecting arm 11 through the bayonet. The connecting screw 52 passes through the connecting member 51 and the connecting arm 11 to detachably fix the connecting member 51 on the connecting arm 11. After the connecting pin 53 passes through the connecting member 51, its bottom end is connected to the bone plate 40 to detachably install the bone plate 40. When the bone plate needs to be used in combination for fixation, the mounting frame 50 is fixedly connected to the structural body 10 by the connecting screw 52, and the mounting frame 50 is fixedly connected to the bone plate 40 by the connecting pin 53, and then the internal fixing screw is passed through the first through hole 401 and the second through hole 402 on the bone plate 40 and respectively driven into the bone tissue at both ends of the joint surface to be fused.

本可选方案的具体实施例中,如图5所示,连接件51包括连接筒511,及垂直连接于连接筒511上下两端面上的两块连接板512,两块连接板512之间的间距形成卡口。两块连接板512上分别设有贯穿板面设置的第一连接孔513,且至少一个第一连接孔513为螺纹孔,连接螺钉52的端部穿设其中一个第一连接孔513和连接臂11上开设的通孔后,其端部与另一个设有内螺纹的第一连接孔513螺纹连接;如图3所示,当位于下方的连接板512上的第一连接孔513为螺纹孔时,连接螺钉52由上至下依次穿设两个第一连接孔513,并与下方的第一连接孔513螺纹连接,从而将连接件51固定于连接臂11上;如图4所示,当位于上方的连接板512上的第一连接孔513为螺纹孔时,连接螺钉52由下至上依次穿设两个第一连接孔513,并与上方的第一连接孔513螺纹连接,从而将连接件51固定于连接臂11上。In a specific embodiment of this optional solution, as shown in FIG. 5 , the connecting member 51 includes a connecting tube 511 and two connecting plates 512 vertically connected to the upper and lower end surfaces of the connecting tube 511 , and the distance between the two connecting plates 512 forms a bayonet. The two connecting plates 512 are respectively provided with first connecting holes 513 that penetrate the plate surface, and at least one of the first connecting holes 513 is a threaded hole. After the end of the connecting screw 52 passes through one of the first connecting holes 513 and the through hole opened on the connecting arm 11, its end is threadedly connected with the other first connecting hole 513 with an internal thread; as shown in Figure 3, when the first connecting hole 513 on the lower connecting plate 512 is a threaded hole, the connecting screw 52 passes through two first connecting holes 513 from top to bottom in sequence, and is threadedly connected with the first connecting hole 513 at the bottom, thereby fixing the connecting member 51 on the connecting arm 11; as shown in Figure 4, when the first connecting hole 513 on the upper connecting plate 512 is a threaded hole, the connecting screw 52 passes through two first connecting holes 513 from bottom to top in sequence, and is threadedly connected with the first connecting hole 513 at the top, thereby fixing the connecting member 51 on the connecting arm 11.

再结合图6所示,两块连接板512的悬臂端上还各设有贯穿板面设置的第二连接孔514,连接筒511内还设有沿轴向贯穿其设置的第三连接孔515,连接销53穿设两个第二连接孔514或第三连接孔515后连接接骨板40;通过连接销53将接骨板40与安装架50可拆卸式固定;连接销53的两种固定连接方式,可以改变接骨板40与导向套筒组件30的相对角度,方便从不同角度置钉。As shown in Figure 6, the cantilever ends of the two connecting plates 512 are each provided with a second connecting hole 514 that passes through the plate surface, and the connecting tube 511 is also provided with a third connecting hole 515 that passes through it axially. The connecting pin 53 passes through the two second connecting holes 514 or the third connecting hole 515 and is connected to the bone plate 40; the bone plate 40 and the mounting frame 50 are detachably fixed by the connecting pin 53; the two fixed connection methods of the connecting pin 53 can change the relative angle between the bone plate 40 and the guide sleeve assembly 30, which is convenient for nailing from different angles.

优选地,如图5所示,连接筒511位于两块连接板512之间的内壁面上设有斜面516。斜面516用于与连接臂11的外侧边贴合,以使接骨板40与连接臂11呈夹角相交,进而避免接骨板40与导向套筒组件30平行。连接筒511上设置斜面516,斜面516用于防止安装架50与连接臂11相对转动,同时,导向套筒组件30的轴线平行于连接臂11第一端的轴线,斜面516可以保证接骨板40与导向套筒组件30呈一定角度,从而避免置入骨组织的空心钉与接骨板40上旋入骨组织的内固定螺钉产生干涉。Preferably, as shown in FIG5 , the inner wall surface of the connecting tube 511 between the two connecting plates 512 is provided with an inclined surface 516. The inclined surface 516 is used to fit with the outer side edge of the connecting arm 11 so that the bone plate 40 and the connecting arm 11 intersect at an angle, thereby preventing the bone plate 40 from being parallel to the guide sleeve assembly 30. The connecting tube 511 is provided with an inclined surface 516, which is used to prevent the mounting frame 50 and the connecting arm 11 from rotating relative to each other. At the same time, the axis of the guide sleeve assembly 30 is parallel to the axis of the first end of the connecting arm 11. The inclined surface 516 can ensure that the bone plate 40 and the guide sleeve assembly 30 are at a certain angle, thereby preventing the hollow nails inserted into the bone tissue from interfering with the internal fixation screws on the bone plate 40 that are screwed into the bone tissue.

以上所述仅为本实用新型的优选实施例而已,并不用于限制本实用新型,对于本领域的技术人员来说,本实用新型可以有各种更改和变化。凡在本实用新型的精神和原则之内,所作的任何修改、等同替换、改进等,均应包含在本实用新型的保护范围之内。The above description is only the preferred embodiment of the utility model, and is not intended to limit the utility model. For those skilled in the art, the utility model can have various modifications and changes. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the utility model shall be included in the protection scope of the utility model.

Claims (10)

1. An ankle facet joint fusion guide, comprising:
The structure body (10) plays a role of installation and support and is held by an operator, and a positioning hole and a mounting hole which are arranged in a penetrating way are arranged on the structure body (10);
the positioning rod (20) is arranged in the positioning hole in an extending way along the axial direction of the positioning rod, and the positioning rod (20) is used for being inserted into a joint gap of a foot of a patient or being driven into a foot bone of the patient so as to realize the positioning of the ankle joint fusion guide;
The mounting hole is internally provided with a guide sleeve assembly (30) which is arranged along the axial extension of the mounting hole, the end part of the guide sleeve assembly (30) is used for aligning with a hollow nail placement point on bone tissue of a patient, the guide sleeve assembly (30) is internally provided with a guide hole which is arranged along the axial penetration of the guide sleeve assembly, and the guide hole is used for inserting a guide pin for guiding the hollow nail.
2. The ankle facet joint fusion guide according to claim 1, wherein,
The structure main body (10) comprises a connecting arm (11) which is arranged in an arc shape, and a first connecting seat (12) and a second connecting seat (13) which are respectively connected with a first end and a second end of the connecting arm (11);
the locating hole runs through first connecting seat (12) setting, and the mounting hole runs through second connecting seat (13) setting, and locating hole and mounting hole looks perpendicular setting.
3. The ankle facet joint fusion guide according to claim 2, wherein,
The positioning rod (20) is a positioning screw with external threads machined on the outer circular surface, the inner wall of the positioning hole is provided with internal threads matched with the external threads, and the positioning screw threads are arranged in the positioning hole and are used for being inserted into joint gaps of the feet of a patient to position the structural main body (10); or alternatively
The positioning rod (20) is a needle-shaped positioning needle, and the positioning needle is inserted into the positioning hole in a limiting manner so as to be used for being driven into the foot bone of a patient to position the structural body (10).
4. The ankle facet joint fusion guide according to claim 2, wherein,
The guide sleeve assembly (30) comprises a first guide sleeve (31) fixedly inserted into the mounting hole along the axial direction;
A first guide hole penetrating through the first guide sleeve (31) along the axial direction is formed in the first guide sleeve, and the first guide hole is used for inserting a first guide pin for guiding the hollow nail.
5. The ankle facet joint fusion guide according to claim 4, wherein,
The guide sleeve assembly (30) further comprises a second guide sleeve (32) axially inserted into the first guide hole, and a second guide hole axially penetrating the second guide sleeve (32) is formed in the second guide sleeve;
The second guide hole is coaxially communicated with the first guide hole, the aperture of the second guide hole is smaller than that of the first guide hole, and the second guide hole is used for inserting a second guide pin which is used for guiding the hollow nail and has a diameter smaller than that of the first guide pin.
6. The ankle facet joint fusion guide according to claim 5, wherein,
The structure main body (10) also comprises a hand-held handle (14), and the hand-held handle (14) is fixed with the second end of the connecting arm (11);
The guide sleeve assembly (30) further comprises a handle (33) fixed with the first guide sleeve (31), and the handle (33) is arranged above the hand-held handle (14) at intervals.
7. The ankle facet joint fusion guide according to claim 2, wherein,
The ankle facet joint fusion guide further comprises a bone plate (40) and a mounting frame (50) for mounting the bone plate (40);
the mounting frame (50) is detachably fixed on the connecting arm (11);
The bone fracture plate (40) is detachably connected to the lower end of the mounting frame (50), and the two ends of the bone fracture plate (40) are respectively provided with a first through hole (401) and a second through hole (402) which penetrate through the plate surface to limit two inner fixing screws which are required to be driven into bone tissues at two ends of a joint surface to be fused.
8. The ankle facet joint fusion guide according to claim 7, wherein,
The mounting frame (50) comprises a connecting piece (51), a connecting screw (52) and a connecting pin (53);
the side wall of the connecting piece (51) is provided with a concave bayonet, and the connecting piece (51) is clamped on the connecting arm (11) through the bayonet;
The connecting screw (52) penetrates through the connecting piece (51) and the connecting arm (11) to detachably fix the connecting piece (51) on the connecting arm (11);
The bottom end of the connecting pin (53) is connected with the bone plate (40) after penetrating through the connecting piece (51) so as to detachably mount the bone plate (40).
9. The ankle facet joint fusion guide according to claim 8, wherein,
The connecting piece (51) comprises a connecting cylinder (511) and two connecting plates (512) vertically connected to the upper end face and the lower end face of the connecting cylinder (511), and a bayonet is formed by the space between the two connecting plates (512);
the two connecting plates (512) are respectively provided with a first connecting hole (513) penetrating through the plate surface, at least one first connecting hole (513) is a threaded hole, and after one first connecting hole (513) is penetrated through the end part of the connecting screw (52) and a through hole formed in the connecting arm (11), the end part of the connecting screw is in threaded connection with the other first connecting hole (513) provided with internal threads;
The cantilever ends of the two connecting plates (512) are respectively provided with a second connecting hole (514) penetrating through the plate surface, a third connecting hole (515) penetrating through the connecting cylinder (511) along the axial direction is further arranged in the connecting cylinder (511), and the connecting pins (53) penetrate through the two second connecting holes (514) or the third connecting holes (515) to be connected with the bone fracture plate (40).
10. The ankle facet joint fusion guide according to claim 9, wherein,
An inclined surface (516) is arranged on the inner wall surface of the connecting cylinder (511) between the two connecting plates (512);
The inclined surface (516) is used for being attached to the outer side edge of the connecting arm (11) so that the bone plate (40) is intersected with the connecting arm (11) in an included angle, and the bone plate (40) is prevented from being parallel to the guide sleeve assembly (30).
CN202322937972.0U 2023-10-31 2023-10-31 Ankle facet joint fusion guider Active CN221786576U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202322937972.0U CN221786576U (en) 2023-10-31 2023-10-31 Ankle facet joint fusion guider

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202322937972.0U CN221786576U (en) 2023-10-31 2023-10-31 Ankle facet joint fusion guider

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CN221786576U true CN221786576U (en) 2024-10-01

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