A device for fixation of body position during operation of olecranon fracture
By designing a position fixing device for ulnar eagle-mouth fracture surgery, the combination of sliding blocks and bolts can achieve stable fixation of the forearm, which solves the problem of inconvenience in position fixation during surgery, reduces dependence on assistants, and improves surgical efficiency and patient comfort.
Patent Information
- Application Number
- CN202010978149.2
- Authority / Receiving Office
- CN · China
- Patent Type
- Patents(China)
- Current Assignee / Owner
- Filing Date
- 2020-09-17
- Publication Date
- 2024-12-20
- Estimated Expiration
- 2040-09-17
AI Technical Summary
In ulnar eagle-mouth fracture surgery, the lack of effective position fixation devices leads to inconvenience in operation of the surgery and requires additional assistants to help fix it, which increases the possibility of intraoperative contamination and the patient's pain.
A body fixing device including a chassis, sliding blocks, fixing clips, extrusion clips, threaded rods and pallet devices is designed. Through the cooperation of sliding blocks and bolts, the forearm can be stabilized and flexible, reducing the helper's Reliance and optimization of surgical instrument management through tray devices.
Effectively fix the patient's forearm, reduce the dependence on assistants during the operation, reduce the risk of intraoperative contamination, improve the efficiency of the operation and patient comfort, and save human resources.
Smart Images

Figure CN112569076B_ABST
Abstract
Description
Technical Field
[0001] The invention belongs to the technical field of medical appliances, and in particular relates to a device for fixing body position during an olecranon fracture operation. Background Art
[0002] The protrusion under the skin behind the proximal end of the ulna is the olecranon. It forms a semilunar notch with the coronoid process of the ulna in front. This notch forms a joint with the trochlea of the humerus. The ulnohumeral joint only has flexion and extension activities. Olecranon fractures are intra-articular fractures that affect the semilunar notch. Therefore, anatomical reduction is an effective measure to prevent joint instability and prevent osteoarthritis and other complications. Olecranon fractures are a common type of fracture in clinical practice, which often occurs in adults and accounts for about 10% of adult upper limb fractures. Direct violence and indirect violence can cause olecranon fractures. There are two common causes of olecranon fractures: 1. Indirect external force: When falling, the elbow joint is in a straight position, and the external force is transmitted to the elbow, and the triceps pulls to cause an avulsion fracture. The fracture line may be transverse or oblique. There is separation between the two fracture ends; 2. Direct external force: When falling, the elbow joint is straightened and the elbow lands, or it is directly hit behind the elbow, resulting in a comminuted fracture, and the fracture ends are mostly not separated. Olecranon fracture is an intra-articular fracture. In treatment, we should strive to achieve anatomical reduction to ensure the smoothness of the joint surface, thereby reducing the occurrence of traumatic arthritis and promoting the recovery of elbow joint function. At present, the main treatments for olecranon fracture are non-surgical treatment and surgical treatment, but only a few literature reports on the use of non-surgical treatment for olecranon fracture. Surgery has now become the mainstream treatment method. However, how to position the body during surgery to facilitate intraoperative operations while not affecting intraoperative fluoroscopy has always been controversial. In clinical practice, the general intraoperative position is supine, with the shoulders and elbows flexed in front of the chest, which is more convenient for intraoperative movement of the affected limb and fluoroscopy.
[0003] However, due to the lack of an effective position fixation device during surgery, on the one hand, the forearm is placed in front of the chest, which affects the mobility of the chest; on the other hand, due to the lack of effective fixation of the affected limb, a dedicated assistant is required to fix the affected limb on the opposite side or the operating side, which is not conducive to the operation and increases the possibility of intraoperative contamination. Therefore, it is necessary to improve the structure of position fixation, and at the same time, a device for position fixation during olecranon fracture surgery is proposed to better solve the above problems. Summary of the invention
[0004] The purpose of the present invention is to provide a device for body position fixation during olecranon fracture surgery in order to solve the above-mentioned problem.
[0005] The technical solution adopted by the present invention is as follows:
[0006] The invention relates to a device for fixing the position of the body during an ulna olecranon fracture operation, comprising a base frame, the base frames having two, and a connecting plate fixedly connected between the upper parts of the base frames, a sliding block movably installed at the lower part of the base frame, and a fixing clamp fixedly installed at the bottom of the side of the sliding block away from the base frame, an extrusion clamp arranged opposite to the fixing clamp is installed on the sliding block, and a moving groove is provided on the sliding block, a T-shaped connecting piece is fixedly connected at the middle part of the side of the extrusion clamp close to the moving groove, and the T-shaped connecting piece is movably inserted in the moving groove, the extrusion clamp is threadedly connected with a threaded rod, and the bottom of the threaded rod is fixedly connected with the fixing clamp through a bearing, a bolt is threadedly connected at the middle part of one end of the sliding block away from the fixing clamp, and the bolt is pressed on the base frame, a fixing plate is fixedly connected to the inner side of the upper part of the base frame, and the fixing plate is located above the connecting plate, a placement plate is installed above the fixing plate, and a placement groove is provided on the placement plate, connecting rods arranged opposite to each other are installed on both sides of the top of the placement plate, and a pressing plate is fixedly installed on the top of the connecting rod, and a tray device is hingedly connected to the upper right side of the base frame.
[0007] In a preferred embodiment, a hollow groove is opened at the bottom of the placement plate, and a screw is movably installed in the hollow groove through a bearing. The screw movably passes through the right wall of the placement plate, and the other end is movably installed with the left wall of the placement plate through a bearing.
[0008] In a preferred embodiment, a movable block is threadedly connected to the screw rod, and a connecting column is fixedly connected to the bottom of the movable block, and the bottom of the connecting column is fixedly connected to the fixing plate.
[0009] In a preferred embodiment, the placement groove is a U-shaped structure, and a relatively arranged soft pad is fixedly installed on the opposite surface of the pressing plate.
[0010] In a preferred embodiment, limiting grooves are opened on both sides of the top of the placing plate, and the bottom of the connecting rod is hinged in the limiting grooves, a slot hole is opened at the bottom of the connecting rod, and a limiting rod is inserted in the slot hole, both ends of the limiting rod are fixed on the inner wall of the limiting groove, and a spring is sleeved on the limiting rod.
[0011] In a preferred embodiment, a handle is fixedly mounted on one end of the screw rod away from the placement plate, and the handle is located above the fixed plate.
[0012] In a preferred embodiment, the tray device is composed of a chassis, a hydraulic rod, a baffle, a fixed rod, a gauze tube and a placement groove. The hydraulic rod has two groups, and one end of the hydraulic rod is hinged on the right wall of the chassis, and the other end is hinged at the bottom center of the chassis. The left side of the chassis is hinged to the top right side of the chassis.
[0013] In a preferred embodiment, baffles arranged opposite to each other are fixedly installed on the four sides of the top of the chassis, and a fixing rod is fixedly installed between the baffles near the left side, the number of the fixing rods is not less than three, and each fixing rod is movably sleeved with not less than three hooks, a gauze tube is fixedly installed between the baffles near the right side through a bearing, a placement groove is opened on the chassis, and the placement groove is located between the gauze tube and the fixing rod, a cover plate is movably installed on one side of the baffle through a hinge, and a handle is fixedly installed on the side of the cover plate away from the hinge.
[0014] In summary, due to the adoption of the above-mentioned technical scheme, the beneficial effects of the present invention are: the patient's forearm is effectively fixed, and can be moved forward, backward, up and down, which is convenient for medical staff to perform surgical operations, and at the same time, no extra assistants are required for operation and fixation, which saves manpower and reduces the possibility of intraoperative contamination.
[0015] 1. In the present invention, since the extrusion clamp is connected with a threaded rod, when the threaded rod is rotated, the extrusion clamp can be moved closer to the fixing clamp, thereby fixing the device on the bed, effectively making the device more stable and reducing the pain of the patient. At the same time, since the sliding block is connected with a bolt, when the height of the device is too high or too low, the sliding block can be moved up and down to a suitable position, and then the bolt is rotated and pressed against the base frame to fix the sliding block. The up and down movement of the device can be flexibly controlled, which provides great convenience for medical staff during surgery and indirectly reduces manpower consumption.
[0016] 2. In the present invention, when the patient lies on the bed, it is inconvenient for him to stretch his arms. At this time, the screw is rotated by the handle to drive the movable block to rotate. Since the connecting column at the bottom of the movable block is fixedly connected to the fixed plate, the placement plate will move left and right under the action of the screw, so as to be controlled in a suitable position. It is very simple and convenient. The compression plate is opened, and the patient puts his arm in the placement groove, and then covers it with a disinfectant towel. Under the action of the spring and the limit rod, the compression plate will automatically move together and fix the patient's wrist on the placement groove, which greatly improves stability and is convenient for medical staff to perform surgical operations. At the same time, no extra assistants are required to perform operation and fixation, which saves manpower and reduces the possibility of intraoperative contamination.
[0017] 3. In the present invention, when the medical staff is in the operation process, there is no need to frequently find the surgical tool, which delays the patient's treatment time and prolongs the patient's pain. They only need to open the hydraulic rod to raise the chassis, and then hang the scalpel or surgical scissors on the hook on the fixed rod, so that they can easily distinguish and select the tool to be used. At the same time, the gauze used for bandaging can be placed on the gauze tube, which effectively saves the operation time and does not require assistants to deliver it again, saving manpower. When there is nowhere to put things that are inconvenient to place during the operation, they can be placed in the placement slot, which saves a lot of space and makes it easy for doctors to find medical instruments and get them at hand. BRIEF DESCRIPTION OF THE DRAWINGS
[0018] Figure 1 It is a structural schematic diagram of the present invention;
[0019] Figure 2 It is a schematic diagram of the structure of the chassis part in the present invention;
[0020] Figure 3 It is a side view of the placement plate and the pressing plate in the present invention;
[0021] Figure 4 A top view of a plate placed in the present invention;
[0022] Figure 5 It is a top view of the tray device in the present invention.
[0023] Markings in the figure: 1-base frame, 2-connecting plate, 3-sliding block, 4-fixing clamp, 5-extrusion clamp, 6-threaded rod, 7-bolt, 8-fixing plate, 9-placing plate, 10-placing slot, 11-connecting rod, 12-pressing plate, 13-empty slot, 14-screw, 15-movable block, 16-connecting column, 17-limiting rod, 18-tray device, 19-chassis, 20-hydraulic rod, 21-baffle, 22-fixing rod, 23-gauze tube, 24-placing slot, 25-cover plate. DETAILED DESCRIPTION
[0024] In order to make the purpose, technical solution and advantages of the present invention more clearly understood, the present invention is further described in detail below in conjunction with the accompanying drawings and embodiments. It should be understood that the specific embodiments described herein are only used to explain the present invention and are not used to limit the present invention.
[0025] Reference Figure 1-5A device for fixing the position during surgery of ulna olecranon fracture comprises a base frame 1, wherein the base frames 1 have two, and a connecting plate 2 is fixedly connected between the tops of the base frames 1, a sliding block 3 is movably installed at the bottom of the base frame 1, and a fixing clamp 4 is fixedly installed at the bottom of the sliding block 3 away from the base frame 1, an extrusion clamp 5 arranged opposite to the fixing clamp 4 is installed on the sliding block 3, and a moving groove is provided on the sliding block 3, a T-shaped connecting piece is fixedly connected to the middle position of the side of the extrusion clamp 5 close to the moving groove, and the T-shaped connecting piece is movably inserted in the moving groove, the extrusion clamp 5 is threadedly connected to a threaded rod 6, and the bottom of the threaded rod 6 is fixedly connected to the fixing clamp 4 through a bearing, a bolt 7 is threadedly connected to the middle of one end of the sliding block 3 away from the fixing clamp 4, and the bolt 7 is extruded on the base frame 1, ten The device can be flexibly controlled to move up and down, which provides great convenience for medical staff during surgery and indirectly reduces manpower consumption. A fixing plate 8 is fixedly connected to the inner side of the upper part of the base frame 1, and the fixing plate 8 is located above the connecting plate 2. A placement plate 9 is installed above the fixing plate 1, and a placement groove 10 is provided on the placement plate 9. An empty groove 13 is provided on the top of the placement plate 9, and a screw 14 is movably installed in the empty groove 13 through a bearing. The screw 14 movably passes through the right wall of the placement plate 14, and the other end is movably installed with the left wall of the placement plate 14 through a bearing. A movable block 15 is threadedly connected to the screw 14, and the bottom of the movable block 15 is fixedly connected to a connecting column 16, and the bottom of the connecting column 16 is fixedly connected to the fixed plate 8. Under the action of the screw 14, the placement plate 9 The handle is fixedly mounted on the end of the screw rod 14 away from the placement plate 9, and the handle is located above the fixed plate 8. Connecting rods 11 arranged opposite to each other are installed on both sides of the top of the placement plate 9, and a clamping plate 12 is fixedly mounted on the top of the connecting rod 11. Limiting grooves are provided on both sides of the top of the placement plate 9, and the bottom of the connecting rod 11 is hinged in the limiting groove. A slot is provided at the bottom of the connecting rod 11, and a limiting rod 17 is inserted in the slot. Both ends of the limiting rod 17 are fixed on the inner wall of the limiting groove, and a spring is sleeved on the limiting rod 17 to open the clamping plate 12. The patient then places his arm in the placement groove 10, and then covers it with a disinfectant towel. Under the action of the spring and the limiting rod 17, the clamping plate 12 will automatically move together and fix the patient's wrist on the placement slot 10, which greatly improves stability and facilitates medical staff to perform surgical operations. At the same time, no extra assistants are required to perform operation and fixation, which saves manpower and reduces the possibility of intraoperative contamination. The placement slot 10 is a U-shaped structure, and a relatively set soft cushion is fixedly installed on the opposite surface of the clamping plate 12, which helps to prevent compression caused by long-term operation during surgery, and can make the patient's wrist more comfortable and reduce the patient's pain. A tray device 18 is hinged on the upper right side of the base frame 1. The tray device 18 consists of a chassis 19, a hydraulic rod 20, a baffle 21, a fixing rod 22, a gauze tube 23 and a placement slot 24. There are two groups of hydraulic rods 20, and one end of the hydraulic rod 20 is hinged on the right wall of the base frame 1.The other end is hinged at the bottom center of the chassis 19, the left side of the chassis 19 is hinged to the top right side of the chassis 1, and the top four sides of the chassis 19 are fixedly installed with relatively arranged baffles 21, and a fixing rod 22 is fixedly installed between the baffles 21 near the left side, the number of the fixing rods 22 is not less than three, and each fixing rod 22 is movably sleeved with not less than three hooks, a gauze tube 23 is fixedly installed between the baffles 21 near the right side through a bearing, a placement groove 24 is opened on the chassis 19, and the placement groove 24 is located between the gauze tube 23 and the fixing rod 22, a cover plate is movably installed on one side of the baffle through a hinge, and a handle is fixedly installed on the side of the cover plate away from the hinge, when medical staff are in surgery During the operation, there is no need to frequently find surgical knives, which delays the patient's treatment time and prolongs the patient's pain. You only need to hang the scalpel or surgical scissors on the hook on the fixed rod 22, and you can easily distinguish and select the knife to be used. At the same time, the gauze used for bandaging can be placed on the gauze tube 23, which effectively saves the operation time and does not require assistants to deliver it again, saving manpower. When there is nowhere to put something that is inconvenient to place during the operation, it can be placed in the placement slot 24, which saves a lot of space and makes it easy for doctors to find medical instruments and get them at hand. At the same time, when it is necessary to lay a sterile sheet, just close the cover plate 25 to increase the use space.
[0026] Working principle: In the present application, the height of the sliding block 3 on the base frame 1 is adjusted to make it more suitable for the placement of the patient's arm, and then the bolt 7 is rotated and pressed against the base frame 1 to fix the sliding block 3, and then the threaded rod 6 is rotated, and under the action of the bottom bearing, the squeezing clamp 5 can be moved closer to the fixing clamp 4, thereby fixing the device on the bed.
[0027] In the present application, the screw rod 14 is rotated by the handle to drive the movable block 15 to rotate. Since the connecting column 16 at the bottom of the movable block 15 is fixedly connected to the fixed plate 8, the placement plate 9 will move left and right under the action of the screw rod 14 at this time, so as to control the position of the patient at a suitable position, open the clamping plate 12, and the patient puts his arm in the placement groove 10, and then covers it with a disinfectant towel. Under the action of the spring and the limit rod 17, the clamping plate 12 will automatically close and fix, and fix the patient's wrist on the placement groove 10. Medical staff can perform surgery without being affected and without increasing the pain of the patient. When too many surgical instruments are needed, the hydraulic rod 20 can be opened to raise the tray device 18, and then the surgical instruments can be placed in the tray device, and the doctor can easily get the instruments during the operation.
[0028] The above description is only a preferred embodiment of the present invention and is not intended to limit the present invention. Any modifications, equivalent substitutions and improvements made within the spirit and principles of the present invention should be included in the protection scope of the present invention.
Claims
1. A device for fixation of body position during olecranon fracture surgery, comprising a base frame (1), characterized in that: The base frames (1) are provided with two, and a connecting plate (2) is fixedly connected between the upper parts of the base frames (1); a sliding block (3) is movably installed at the lower part of the base frame (1); a fixing clamp (4) is fixedly installed at the bottom of the sliding block (3) on a side away from the base frame (1); an extrusion clamp (5) arranged opposite to the fixing clamp (4) is installed on the sliding block (3); a moving groove is provided on the sliding block (3); a T-shaped connecting piece is fixedly connected to the middle part of the side of the extrusion clamp (5) close to the moving groove, and the T-shaped connecting piece is movably inserted in the moving groove; the extrusion clamp (5) is threadedly connected to a threaded rod (6), and the bottom of the threaded rod (6) is connected to the fixing rod through a bearing. The clamp (4) is fixedly connected, a bolt (7) is threadedly connected to the middle part of one end of the sliding block (3) away from the fixing clamp (4), and the bolt (7) is pressed on the base frame (1), a fixing plate (8) is fixedly connected to the inner side of the upper part of the base frame (1), and the fixing plate (8) is located above the connecting plate (2), a placement plate (9) is installed above the fixing plate (8), and a placement groove (10) is opened on the placement plate (9), connecting rods (11) arranged opposite to each other are installed on both sides of the top of the placement plate (9), and a clamping plate (12) is fixedly installed on the top of the connecting rod (11), and a tray device (18) is hinged on the upper right side of the base frame (1); The bottom of the placement plate (9) is provided with an empty slot (13), and a screw rod (14) is movably mounted in the empty slot (13) via a bearing. The screw rod (14) movably penetrates the right wall of the placement plate (9), and the other end is movably mounted on the left wall of the placement plate (9) via a bearing. A movable block (15) is threadedly connected to the screw rod (14), and a connecting column (16) is fixedly connected to the bottom of the movable block (15), and the bottom of the connecting column (16) is fixedly connected to the fixed plate (8); Limiting grooves are provided on both sides of the top of the placement plate (9), and the bottom of the connecting rod (11) is hinged in the limiting grooves. A slot hole is provided at the bottom of the connecting rod (11), and a limiting rod (17) is inserted into the slot hole. Both ends of the limiting rod (17) are fixed on the inner wall of the limiting groove, and a spring is sleeved on the limiting rod (17); The tray device (18) is composed of a chassis (19), a hydraulic rod (20), a baffle (21), a fixing rod (22), a gauze tube (23) and a placement groove (24), wherein the hydraulic rod (20) has two groups, and one end of the hydraulic rod (20) is hinged on the right wall of the chassis (1), and the other end is hinged at the bottom center of the chassis (19), and the left side of the chassis (19) is hinged to the top right side of the chassis (1); The top four sides of the chassis (19) are fixedly mounted with baffles (21) arranged opposite to each other, and a fixing rod (22) is fixedly mounted between the baffles (21) near the left side, the number of the fixing rods (22) is not less than three, and each fixing rod (22) is movably sleeved with not less than three hooks, a gauze tube (23) is fixedly mounted between the baffles (21) near the right side via a bearing, a placement groove (24) is provided on the chassis (19), and the placement groove (24) is located between the gauze tube (23) and the fixing rod (22), a cover plate (25) is movably mounted on one side of the baffle (21) via a hinge, and a handle is fixedly mounted on a side of the cover plate (25) away from the hinge.
2. A device for fixation of body position during olecranon fracture surgery according to claim 1, characterized in that: The placement groove (10) is a U-shaped structure, and a relatively arranged soft pad is fixedly mounted on the surface opposite to the pressing plate (12).
3. A device for fixation of body position during olecranon fracture surgery according to claim 1, characterized in that: A handle is fixedly mounted on one end of the screw rod (14) away from the placement plate (9), and the handle is located above the fixed plate (8).
