Phalangeal fracture kirschner wire internal fixation guider and using method thereof

A phalanx fracture and Kirschner wire technology, which is applied in the field of Kirschner wire guide devices, can solve the problems of high probability of soft tissue iatrogenic injury, high requirements for experience and physical strength, and low success rate of one-time needle penetration, so as to improve the accuracy of one-time needle penetration. The effects of needle success rate, shortened operation time, and reduced dependence on physical strength and experience

Inactive Publication Date: 2016-12-07
TIANJIN HOSPITAL
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

However, this traditional Kirschner wire fixation method has certain disadvantages: 1. The success rate of one-time needle penetration is low, the operator is prone to fatigue, and it is easy to cause prolonged operation time: the Kirschner wire needs to maintain a certain angle with the longitudinal axis of the phalanx. If the angle is too small, the joint may be fixed, and if the included angle is too large, the phalanx near (or far) from the fracture line may not be fixed, and the inner wall of the medullary cavi...

Method used

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  • Phalangeal fracture kirschner wire internal fixation guider and using method thereof
  • Phalangeal fracture kirschner wire internal fixation guider and using method thereof

Examples

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Effect test

Embodiment 1

[0027] A Kirschner wire internal fixation guide for phalanx fractures, which includes a hollow guide wire direction pointer and a handle; above the guide hollow needle, there is a direction pointer parallel to it, and the direction pointer and the handle are connected with the hollow guide wire in the form of a sleeve. Connected, the direction pointer and the handle can rotate around the longitudinal axis of the guide pin, the purpose of which is to facilitate operation in different parts, wound positions and shapes, skin soft tissue conditions, and fracture conditions. The inclined surface at the distal end of the hollow guide wire can make the Kirschner wire drill holes stably on the smooth inner wall of the bone marrow cavity; in addition, the direction pointer can be used to pre-judge the needle position before the Kirschner wire is inserted, so as to avoid repeated needle insertion. Soft tissue injury.

Embodiment 2

[0029] How to use the Kirschner wire internal fixation guide for phalangeal fractures: insert the tip of the guide wire into the medullary cavity of the fracture end, judge the exit point of the Kirschner wire according to the direction pointed by the direction pointer, and adjust the position and position of the guide wire accordingly. After completion, stick the smooth tip of the guide wire on the inner wall of the medullary cavity, insert the Kirschner wire from the tail end of the guide, and drill into the Kirschner wire. In this way, the position of the needle can be pre-judged before the Kirschner needle is inserted, so as to avoid soft tissue damage caused by repeated needle insertion.

Embodiment 3

[0031] Conventional Kirschner wire internal fixation method for phalanx fracture: a case of open fracture of the proximal phalanx of the index finger, the same doctor performed the operation, exposed the fracture end after debridement, and drilled the Kirschner wire retrogradely into the cortex of the distal part of the fracture According to the operator's experience and anatomical knowledge, the point of needle exit is determined and the tip of the Kirschner wire is drilled at an angle of about 30-40° to the cortical bone, and the other end of the Kirschner wire is withdrawn from the fracture line to perform fracture reduction. After the reduction is satisfactory, the Kirschner wire is drilled back in the opposite direction to fix the contralateral cortex, thus completing the entire Kirschner wire internal fixation process.

[0032] Results: During the operation, the Kirschner wire slipped and adjusted many times, and the angle of the needle was adjusted many times, so a total...

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Abstract

The invention discloses a phalangeal fracture kirschner wire internal fixation guider and a using method thereof. The guider comprises a hollow guide needle, a direction pointer and a handle. The direction pointer parallel to the hollow guide needle is arranged above the hollow guide needle, and the direction pointer and the handle are both connected with a guide needle body through sleeves and can rotate around the longitudinal axis of the guide needle. The phalangeal fracture kirschner wire internal fixation guider is simple in structure, convenient to manufacture and low in cost. A kirschner wire can stably drill holes in the smooth inner wall of a finger marrow cavity through a slop at the far end of the hollow guide needle; meanwhile, the outlet position of the kirschner wire can be judged before kirschner wire is threaded, and soft tissue damage caused by multiple times of needle threading can be avoided. The one-time needle threading success rate can be increased, damage of X rays to the bodies of a doctor and a patient in an operation can be relieved, and dependence on the physical strength and experience of the doctor is reduced.

Description

technical field [0001] The invention belongs to the technical field of medical devices, and relates to a Kirschner wire guide device specially used for internal fixation treatment of phalanx fracture with Kirschner wire intramedullary needle insertion. The abbreviation is a Kirschner wire internal fixation guide for phalanx fracture and its application method. Background technique [0002] Phalangeal fracture is a common case in hand surgery, and intramedullary retrograde needle and cross Kirschner wire internal fixation is a commonly used classic treatment. However, this traditional Kirschner wire fixation method has certain disadvantages: 1. The success rate of one-time needle penetration is low, the operator is prone to fatigue, and it is easy to cause prolonged operation time: the Kirschner wire needs to maintain a certain angle with the longitudinal axis of the phalanx. If the angle is too small, the joint may be fixed, and if the included angle is too large, the phala...

Claims

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Application Information

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IPC IPC(8): A61B17/90A61B17/72
CPCA61B17/7291A61B17/88A61B17/90
Inventor 赵欣桑仲娜
Owner TIANJIN HOSPITAL
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