Lifting ratio template props and measuring methods for orthopedic surgery fracture operation

A technique for surgery and orthopedic surgery, applied in the field of lifting ratio template props, which can solve the problems of long exposure time, increased cost, and increased risk of infection

Active Publication Date: 2022-02-15
赵德来
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

As a result, the following disadvantages arise: 1. The proportions in the X-ray film are different from the actual proportions, which causes misjudgment to the doctor before the operation; 2. The diameter of the smallest medullary needle of the femur is 9.5mm. The optical film is not accurate, the intramedullary cavity is too thin, and the intraoperative operation will lead to iatrogenic fracture of the medullary cavity, causing secondary trauma to the patient; 3. To penetrate the intramedullary nail, it must be at the apex of the greater trochanter or the pyriform sinus Dig out a hole larger than 9.5mm for intramedullary nailing. If the patient’s medullary cavity is <9.5mm, intramedullary nailing cannot be performed. The success rate is ≤96%, and then fixed with a plate
Caused patients to have secondary trauma, increased intraoperative bleeding, long exposure time, increased infection risk, and the infection rate would increase from 0.5% to 2% infection rate; 4. The operation time increased to 2 hours
If multiple internal fixation objects are sterilized at the same time, it will take up a lot of surgical equipment resources, increase the cost and reduce the efficiency

Method used

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  • Lifting ratio template props and measuring methods for orthopedic surgery fracture operation
  • Lifting ratio template props and measuring methods for orthopedic surgery fracture operation
  • Lifting ratio template props and measuring methods for orthopedic surgery fracture operation

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0021] Embodiment 1, name: Li Moujun, man, 45 years old, height: 1.85 meters. Proximal femoral nail antirotation surgery. The patient lies flat on the bed surface 13, the scale template 5 is placed on the bed surface 13 in a horizontal state, and an X-ray film is taken. The operator touches the highest point 11 of the greater trochanter 10 with his hand, and measures the greater trochanter 10 The vertical distance from the bed surface 13 is 70 mm, and the adjustment hemisphere 1 rises 70 mm to the same height as the greater trochanter 10 level. Measure the hemisphere 1 with a spirit level, make the hemisphere 1 rise to the same height position as the apex 11 of the greater trochanter, and take pictures. Patients are fat or thin, and the adjustment range is 70mm-100mm. After obtaining the X-ray film, it is measured that A=82mm, D=10mm, and C is the diameter of hemisphere 1, 100mm. According to the formula, the medullary canal isthmus 16=D*C / A, and the medullary canal isthmus ...

Embodiment 2

[0023] Embodiment 2, name: Zhang Moubo, male, 55 years old, height: 1.65 meters. Femoral shaft fracture intramedullary nailing operation: the patient lies flat on the bed surface 13, the scale template 5 is placed on the bed surface 13 in a horizontal state, X-rays are taken, and the operator touches the greater trochanter 10 with his hands. At point 11, measure the vertical distance between the greater trochanter 10 and the bed surface 13 to be 100 mm, and adjust the hemisphere 1 to rise 100 mm to the same height as the greater trochanter 10. Measure the hemisphere 1 with a spirit level, make the hemisphere 1 rise to the same height position as the apex 11 of the greater trochanter, and take pictures. Take X-rays. After obtaining the X-ray film, apply the formula of medullary canal isthmus 16=D*C / A to calculate the actual value of medullary canal isthmus 16 of the patient. Measured on the X-ray film, A=96mm, D=9.4mm, C is the diameter of hemisphere 1 100mm, and the isthmus ...

Embodiment 3

[0025] Embodiment 3, name: Han Mouling, female, 48 years old, height: 1.69 meters. Tibia marrow 22 intramedullary nailing operation: the patient lies flat on the bed surface 13, the scale template 5 is placed on the bed surface 13 in a horizontal state, X-ray films are taken, the operator touches the tibial crest 22 with his hands, and measures the relationship between the tibial crest 22 and the bed. The vertical distance of the surface 13 is 80 mm, and the adjustment hemisphere 1 is raised by 80 mm to the same height as the level of the tibial crest 22 . Measure the hemisphere 1 with a spirit level, make the hemisphere 1 rise to the same height position as the tibial crest 22, and take pictures. Measured on the X-ray film, A=90mm, D=7.5mm, according to the formula, medullary canal isthmus 16=D*C / A, C is the diameter of hemisphere 1 100mm, medullary canal isthmus 16=7mm*100mm / 90mm= 750mm / 90mm=8.33mm, if this value is greater than 8mm, intramedullary nailing for tibial shaft ...

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Abstract

The invention relates to the field of orthopedic surgery medical instruments, in particular to a lifting ratio template device and a measuring method for orthopedic fractures of human long tubular bones. Its characteristics are: one end of the bolt is dynamically connected with the hemisphere through the thread, and the other end is fixedly connected with the base to form a proportional template; Take X-rays on the flat bed in a horizontal state, the operator touches the highest point of the greater trochanter with his hands, measures the hemisphere with a level ruler, raises the hemisphere to the same height as the greater trochanter, and takes pictures; the present invention The positive effect is that: the diameter in the X-ray film is measured to an accuracy of 1 mm; the diameter of the medullary cavity of the bone in the X-ray film that needs to be treated is calculated to an accuracy of 1 mm. The success rate of the operation guided by the data obtained is 100%. 1. The operation time of proximal femoral anti-rotation intramedullary nailing is 15 minutes-30 minutes; 2. The operation time of femoral shaft fracture intramedullary nailing is ≤1 hour; 3. The operation time of tibial intramedullary nailing is ≤1 hour; 4. Plate operation time ≤ 1 hour.

Description

technical field [0001] The invention relates to a prop for orthopedic surgery in X-ray photography, in particular to a lifting ratio template prop and a measuring method for orthopedic surgery of human long tubular bones. Background technique [0002] For patients with long tubular bone fractures, doctors are pursuing accurate preoperative calculation and precise positioning of fracture surgery, short time, less bleeding, low postoperative infection rate, and fast wound healing. For patients, it is to reduce pain, recover soon, and spend less money on treatment. Including intramedullary fixation (intramedullary nail system) and extramedullary fixation (plate) surgery, but the latter has the disadvantages of more exposure, larger wounds, longer time, and more bleeding. [0003] The commonly used surgical methods for human long tubular bone fractures are: 1. Proximal femoral anti-rotation intramedullary nailing surgery, 2. Intramedullary nailing surgery for femoral shaft frac...

Claims

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Application Information

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Patent Type & Authority Patents(China)
IPC IPC(8): A61B90/00A61B6/00
CPCA61B90/39A61B6/505A61B6/5294A61B2090/3916A61B2090/3966
Inventor 赵德来
Owner 赵德来
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