A joint dislocation reduction device

By designing a joint dislocation reset device including an arcuate positioner arm and a guide pressurized rod, the problems of inaccurate positioning and poor applicability in the prior art are solved, real-time adjustment and locking of the angle between the coracoid process and the clavicle are achieved, and the accuracy and safety of reset are improved.

CN119279745BActive Publication Date: 2025-06-10XINYANG HOSPITAL
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Patent Information

Application Number
CN202411579398.9
Authority / Receiving Office
CN · China
Patent Type
Patents(China)
Current Assignee / Owner
Filing Date
2024-11-07
Publication Date
2025-06-10
Estimated Expiration
2044-11-07

AI Technical Summary

Technical Problem

The joint dislocation reset device now has shortcomings in the problems of inaccurate positioning, uncontrollable reset degree and poor applicability, especially the mechanical mechanism cannot adjust the angle between the clavicle and coracoid process, resulting in the opening and closing angle being unadjusted.

Method used

An articulation and dislocation reset device including a positioner body, an arc-moving positioner arm, a guide pressurized rod, a fixing bolt, a rivet driver, a hollow drill bit, a limiting gasket and a limiting block is designed. Through the cooperation of these components, real-time adjustment and locking of the angle between the coracoid process and the clavicle is achieved, improving positioning accuracy and adaptability.

Benefits of technology

The device can be adjusted in real time according to the actual angle between the coracoid process and the clavicle, which enhances adaptability, improves positioning accuracy, ensures stable locking between the clavicle process and the coracoid process, and improves the accuracy and safety of reset.

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Abstract

The present invention relates to the technical field of joint dislocation reduction, and discloses a joint dislocation reduction device, including a locator main body, a locator arm, a guiding and pressing rod, a fixing bolt and a rivet driver. The movement path of the locator arm on the locator main body is arc-shaped, which facilitates the position movement of the locator arm on the locator main body, thereby changing the included angle between the locator arm and the locator main body, facilitating real-time adjustment according to the actual angle between the coracoid process and the clavicle, enhancing adaptability. The locator arm is locked by using the fixing bolt, which can be fixed and limited after the position of the locator arm is adjusted, improving the installation fastening degree and preventing displacement or even detachment. With the use of the guiding and pressing rod, the guiding and pressing rod can be operated more conveniently, improving the operation accuracy, and facilitating the compression reduction treatment of the clavicle through the cooperation with the locator arm.
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Description

Technical Field

[0001] The present invention relates to the technical field of joint dislocation reduction, and particularly relates to a joint dislocation reduction device. Background Art

[0002] Acromioclavicular joint dislocation is a common sports injury, accounting for about 12% of all shoulder injuries. It mostly occurs in contact sports such as rugby, football, hockey, skiing, or when falling while cycling. The acromioclavicular joint is a synovial joint between the acromial end of the scapula and the distal end of the clavicle, and its stability is maintained by the joint capsule, acromioclavicular ligament, coracoclavicular ligament, etc. When the shoulder is abducted 90°, the stress on the acromioclavicular joint is twice the body mass of the human body. When the acromioclavicular joint is dislocated, pain and swelling occur in the acromioclavicular joint area, and the entire upper limb loses the suspension of the clavicle and scapula, causing the upper limb to droop, which will seriously affect the function of the entire upper limb.

[0003] In a device for reducing acromioclavicular joint dislocation with the application number CN201320819800.7, when a patient with acromioclavicular joint dislocation uses this reduction device, take a sitting or standing position, adjust the height of the axillary pillow so that the axillary pillow is placed in the affected axilla of the patient, flex the elbow joint to 90 degrees, abduct the upper arm slightly, adjust the position of the elbow joint support, fix the elbow joint in the elbow joint support, slowly pull the elbow joint through the pull rod, and gradually externally rotate the upper arm, then adduct and internally rotate the elbow joint along the chest wall. When a reduction sound is heard, it indicates that the reduction is successful.

[0004] In a positioning and reduction integrated guide for acromioclavicular joint dislocation repair surgery with the application number CN202220043365.2, the problems of inaccurate device positioning, uncontrollable reduction degree, and lack of enhancing the applicability and repair stability of the device are solved. By applying the limiting devices for the clavicle and coracoid process, the position of the bone tunnel is ensured, and the surgical safety is increased; through the cooperation of the pressure rod and the pressure nut, the surgery is precisely controllable; and it has small trauma, convenient operation, and can complete the preparation of the bone tunnel and the reduction of the clavicle at one time, avoiding the errors of empirical reduction, and at the same time facilitating the fixation of the surgeon during the operation.

[0005] However, in the actual use process, due to the structural limitations of the mechanical mechanism, the structure cannot adjust the angle between the clavicle and the coracoid process, resulting in inaccurate positioning of the positioning device. It is impossible to adjust the opening and closing angle according to the severity of the joint dislocation, and there is a problem that the opening and closing angle cannot be adjusted. This makes it impossible to perform corresponding grasping and positioning according to the bone conditions of different patients, and the adaptability is poor.

[0006] Therefore, it is very necessary to solve the above problems through a joint dislocation reduction device. Summary of the Invention

[0007] The purpose of the present invention is to provide a joint dislocation reduction device to solve the problems raised in the above background art.

[0008] To achieve the above object, the present invention provides the following technical solution: A joint dislocation reduction device, comprising:

[0009] A locator main body for the installation and assembly of the structure, facilitating the doctor to hold.

[0010] A locator arm, which is slidably assembled on the locator main body, and the moving path of the locator arm on the locator main body is arc-shaped.

[0011] A guiding and pressing rod, which is threadedly connected to the locator main body, and the guiding and pressing rod is directly corresponding to the locator arm.

[0012] A fixing bolt, which is fixedly installed on the locator main body, and the fixing bolt locks the locator arm.

[0013] A rivet driver, which is guidingly installed inside the guiding and pressing rod and penetrates through the guiding and pressing rod.

[0014] A hollow drill bit, which is used in cooperation with the guiding and pressing rod to drill bone channels on the coracoid process and the clavicle, forming a coracoid bone channel and a clavicle bone channel.

[0015] A limiting gasket, which is clamped on the locator arm, facilitating docking with the rivet driver.

[0016] A limiting block, which is limitedly installed on the clavicle under the drive of a screwdriver, and realizes the locking between the coracoid process and the clavicle in cooperation with the use of the limiting gasket.

[0017] Preferably, the locator main body includes a positioning column, on one side of which a handheld part is integrally formed, and a guiding threaded hole penetrating up and down is opened on the positioning column.

[0018] On the other side of the positioning column, a limiting main body plate is integrally formed. A storage groove is opened on the front side wall of the limiting main body plate, an observation groove is opened on the rear side wall of the limiting main body plate, and a limiting threaded hole opened on the limiting main body plate is arranged near the opening side in the storage groove.

[0019] Preferably, the storage groove is an arc-shaped track, the observation groove is opened in three groups, and all are arranged along the direction of the storage groove, and the storage groove is communicated with the observation groove. The fixing bolt is threadedly connected in the limiting threaded hole.

[0020] Preferably, the locator arm includes a movable arm that matches the receiving groove. A positioning arm is integrally formed at the end of the movable arm. A coracoid clamping seat is integrally formed at the other end of the positioning arm. A positioning cone corresponding to the coracoid clamping seat is integrally formed on the inner side wall of the positioning arm. An angle scale is provided on the front side wall of the movable arm. A rectangular engaging groove is formed in the coracoid clamping seat. The limiting gasket is provided as a rectangular gasket that matches the engaging groove, and a threaded groove is formed in the middle of the limiting gasket.

[0021] Preferably, the positioning arm is arc-shaped. The included angle between the positioning arm and the movable arm is 120°. A slideway corresponding to the observation groove is formed on the rear side wall of the movable arm. A limiting groove matching the fixing bolt is formed in the slideway, and the radian of the limiting groove is the same as that of the receiving groove.

[0022] Preferably, the guiding and pressing rod includes a threaded rod that matches the guiding threaded hole. An adjusting head is integrally formed at the top end of the threaded rod. A pressing head is integrally formed at the bottom end of the threaded rod. A through guiding through hole is formed in the threaded rod, and the guiding through hole penetrates upward through the adjusting head and downward through the pressing head.

[0023] Preferably, the outer side wall of the pressing head is provided with inclined surfaces all around. One side of the outer side wall of the adjusting head is provided with a flat surface. The diameter of the pressing head is smaller than that of the threaded rod.

[0024] Preferably, the rivet driver includes a driver through rod that matches the guiding through hole. A handle is fixed at the top end of the driver through rod. A rivet head is snap-fitted at the bottom end of the driver through rod. A traction ring is integrally formed at the top end of the rivet head. A PDS wire is connected to the traction ring, and the PDS wire extends upward out of the handle.

[0025] Preferably, the diameter of the hollow drill bit is smaller than that of the guiding through hole. The hollow drill bit includes a drill rod. A drill bit is integrally formed at the bottom end of the drill rod. The size of the limiting gasket is larger than that of the drill bit. The size of the limiting block matches that of the drill bit, and the size of the limiting block is smaller than that of the guiding through hole.

[0026] Preferably, the limiting block is a cylinder, and the diameter is the same as that of the clavicle bone tunnel. A threaded section is provided on the outer surface of the limiting block, and a groove is formed at the center of the top of the limiting block, and the groove is one of a straight shape, a cross shape, and a rice shape.

[0027] The technical effects and advantages of the present invention:

[0028] 1. The present invention includes a locator main body, and a locator arm is slidably assembled on the locator main body. The moving path of the locator arm on the locator main body is arc-shaped, which facilitates the position movement of the locator arm on the locator main body, thereby changing the included angle between the locator arm and the locator main body. It is convenient to make real-time adjustment according to the actual angle between the coracoid process and the collarbone, enhancing adaptability, and being able to well perform corresponding adjustment on the included angle between the coracoid process and the collarbone with high positioning accuracy.

[0029] 2. The present invention uses a fixing bolt to lock the locator arm, which can fix and limit the position of the locator arm after position adjustment, improve the installation fastening degree, and prevent displacement or even detachment. With the use of the guiding pressure rod, it is more convenient to operate the guiding pressure rod, improve the operation accuracy, and facilitate its cooperation with the locator arm to achieve the pressure reduction and reduction treatment of the collarbone. BRIEF DESCRIPTION OF THE DRAWINGS

[0030] Figure 1 is a schematic structural diagram of the whole of the present invention from the first perspective;

[0031] Figure 2 is a schematic structural diagram of the whole of the present invention from the second perspective;

[0032] Figure 3 is a schematic structural diagram of the whole of the present invention from the third perspective;

[0033] Figure 4 is a schematic structural diagram of the locator main body of the present invention;

[0034] Figure 5 is a schematic structural diagram of the locator arm of the present invention from the first perspective;

[0035] Figure 6 is a schematic structural diagram of the locator arm of the present invention from the second perspective;

[0036] Figure 7 is a schematic structural diagram of the guiding pressure rod of the present invention from the first perspective;

[0037] Figure 8 is a schematic structural diagram of the guiding pressure rod of the present invention from the second perspective;

[0038] Figure 9 is a schematic structural diagram of the rivet driver of the present invention;

[0039] Figure 10 is a schematic structural diagram of the hollow drill bit of the present invention;

[0040] Figure 11 is a schematic structural diagram of the rivet head of the present invention;

[0041] Figure 12 is a schematic structural diagram of the limit gasket of the present invention;

[0042] Figure 13 Structural schematic diagram of the pre-positioning use state of the present invention;

[0043] Figure 14 Structural schematic diagram of the positioning and clamping use state of the present invention;

[0044] Figure 15 Structural schematic diagram of the installation and use state of the hollow drill bit of the present invention;

[0045] Figure 16 Structural schematic diagram of the installation and use state of the rivet driver of the present invention;

[0046] Figure 17 Structural schematic diagram of the installation state of the limit gasket and the rivet head of the present invention;

[0047] Figure 18 Structural schematic diagram of the separated state of the rivet head and the driver rod of the present invention;

[0048] Figure 19 Structural schematic diagram of the positioning completion state of the present invention;

[0049] Figure 20 Structural schematic diagram of the clamping reset completion state of the present invention;

[0050] Figure 21 Structural schematic diagram of the limit block of the present invention.

[0051] In the figure: 10, locator main body; 11, positioning column; 12, handheld part; 13, guiding threaded hole; 14, limit main body plate; 15, storage groove; 16, observation groove; 17, limit threaded hole; 20, locator arm; 21, movable arm; 22, positioning arm; 23, coracoid clamping seat; 24, positioning cone; 25, angle ruler; 26, slideway; 27, limit groove; 30, guiding pressure rod; 31, threaded rod; 32, adjusting head; 33, pressure head; 34, guiding through hole; 40, fixing bolt; 50, rivet driver; 51, driver rod; 52, handle; 53, rivet head; 54, traction ring; 55, PDS line; 60, hollow drill bit; 61, drill rod; 62, drill bit; 70, limit gasket; 71, threaded groove; 80, coracoid; 90, collarbone; 100, limit block. Detailed implementation manners

[0052] Next, the technical solutions in the embodiments of the present invention will be clearly and completely described in conjunction with the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only a part of the embodiments of the present invention, rather than all the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative efforts shall fall within the protection scope of the present invention.

[0053] This embodiment provides a joint dislocation reduction device as shown in Figures 1 to 9 and includes:

[0054] A locator main body 10 for the installation and assembly of other positioning structures, facilitating the doctor to hold.

[0055] A locator arm 20, which is slidably assembled on the locator main body 10, and the moving path of the locator arm 20 on the locator main body 10 is arc-shaped, facilitating the position movement of the locator arm 20 on the locator main body 10, thereby changing the included angle between the locator arm 20 and the locator main body 10, and facilitating real-time adjustment according to the actual angle between the coracoid process 80 and the clavicle 90.

[0056] A guiding and pressing rod 30, which is threadedly connected to the locator main body 10, and the guiding and pressing rod 30 is directly corresponding to the locator arm 20. By limiting the guiding and pressing rod 30 on the locator main body 10, the operation of the guiding and pressing rod 30 can be more convenient, the operation accuracy can be improved, and the pressing and reduction treatment of the clavicle 90 can be facilitated through the cooperation with the locator arm 20.

[0057] A fixing bolt 40, which is fixedly installed on the locator main body 10 and locks the locator arm 20, can perform fixed limiting after the position of the locator arm 20 is adjusted, improve the installation fastening degree, and prevent displacement or even detachment.

[0058] A rivet driver 50, which is guidingly installed inside the guiding and pressing rod 30 and penetrates through the guiding and pressing rod 30, facilitating the guiding of the traction of the PDS wire 55.

[0059] A hollow drill bit 60, which is used to drill bone channels on the coracoid process 80 and the clavicle 90 in cooperation with the application of the guiding and pressing rod 30 to form a coracoid bone channel and a clavicle bone channel;

[0060] A limiting gasket 70, which is clamped on the locator arm 20, facilitating the butt joint with the rivet driver 50;

[0061] A limiting block 100, which is limit-installed on the clavicle 90 under the drive of a screwdriver, and realizes the locking between the coracoid process 80 and the clavicle 90 in cooperation with the use of the limiting gasket 70.

[0062] Please refer to Figure 4 , the locator main body 10 includes a positioning column 11, a handheld part 12 is integrally formed on one side of the positioning column 11, and a guiding threaded hole 13 penetrating up and down is opened on the positioning column 11, facilitating the doctor to hold the locator through the handheld part 12.

[0063] Please refer to Figure 4, on the other side of the positioning post 11, a limiting main body plate 14 is integrally formed. A storage groove 15 is formed on the front side wall of the limiting main body plate 14, and an observation groove 16 is formed on the rear side wall of the limiting main body plate 14. A limiting threaded hole 17 formed on the limiting main body plate 14 is arranged near the opening side in the storage groove 15.

[0064] Please refer to Figures 1 - 4 , the storage groove 15 is an arc-shaped track, which is convenient for the positioning arm 20 to slide in the storage groove 15. The observation groove 16 is arranged in three groups and is all arranged along the direction of the storage groove 15, and the storage groove 15 and the observation groove 16 are communicated, which is convenient to observe the position of the positioning arm 20 in the positioning body 10 through the observation groove 16. The fixing bolt 40 is threadedly connected in the limiting threaded hole 17, and by rotating the fixing bolt 40, it can be locked on the surface of the positioning arm 20, improving the locking stability of the positioning arm 20.

[0065] Please refer to Figure 5 and Figure 6 , the positioning arm 20 includes a movable arm 21 that matches the storage groove 15. The movable arm 21 is slidably assembled inside the storage groove 15, and the storage groove 15 can limit the movable arm 21. A positioning arm 22 is integrally formed at the end of the movable arm 21, and a coracoid clamping seat 23 is integrally formed at the other end of the positioning arm 22. The coracoid clamping seat 23 is convenient for clamping on the inner and outer side edges and the lower edge of the coracoid 80. A positioning cone 24 corresponding to the coracoid clamping seat 23 is integrally formed on the inner side wall of the positioning arm 22. The positioning cone 24 improves the limiting property of the lower edge of the coracoid 80. An angle scale 25 is arranged on the front side wall of the movable arm 21. The angle scale 25 can move with the movable arm 21, which is convenient to observe the embedded depth of the movable arm 21 in the storage groove 15 through the observation groove 16, and realize the real-time adjustment of the angle between the movable arm 21 and the positioning body 10.

[0066] Please refer to Figure 1 and Figure 12 , the limiting gasket 70 is snap-fitted and installed in the coracoid clamping seat 23. A rectangular clamping groove is formed in the coracoid clamping seat 23. The limiting gasket 70 is set as a rectangular gasket that matches the clamping groove, and a threaded groove 71 is formed in the middle of the limiting gasket 70.

[0067] Please refer to Figure 5 and Figure 6, the positioning arm 22 is arc-shaped, the included angle between the positioning arm 22 and the movable arm 21 is 120°, a slideway 26 corresponding to the observation slot 16 is formed on the rear side wall of the movable arm 21, a limiting slot 27 matching the fixing bolt 40 is formed in the slideway 26, and the radian of the limiting slot 27 is the same as that of the receiving slot 15. Moreover, the receiving slot 15 forms an arc-shaped track with the center of the coracoid clamp 23 as the center of the circle, and the guiding and pressing rod 30 coincides with the generatrix of the arc-shaped track. In this way, when the movable arm 21 adjusts the included angle, the guiding and pressing rod 30 can always be directly opposite to the center of the coracoid clamp 23. The movable arm 21 is engaged in the receiving slot 15, so that the movable arm 21 will not directly disengage from the receiving slot 15, ensuring the limitation between the two. The fixing bolt 40 passes through the limiting threaded hole 17 and is locked in the limiting slot 27, which can realize the locking of the movable arm 21.

[0068] Please refer to Figure 7 and Figure 8 , the guiding and pressing rod 30 includes a threaded rod 31 matching the guiding threaded hole 13. The top end of the threaded rod 31 is integrally formed with an adjusting head 32, and the bottom end of the threaded rod 31 is integrally formed with a pressing head 33. A through guiding through hole 34 is formed in the threaded rod 31, and the guiding through hole 34 penetrates upward through the adjusting head 32 and downward through the pressing head 33. In this way, by rotating the adjusting head 32, the pressing head 33 can be driven to move through the cooperation of the threaded rod 31 and the guiding threaded hole 13, facilitating the adjustment of the height position of the pressing head 33 according to needs.

[0069] Please refer to Figure 7 and Figure 8 , the outer side wall of the pressing head 33 is set to be inclined on all sides, one side of the outer side wall of the adjusting head 32 is set to be flat, and the diameter of the pressing head 33 is smaller than that of the threaded rod 31.

[0070] Please refer to Figure 9 , the rivet driver 50 includes a driver through rod 51 matching the guiding through hole 34, which facilitates the quick passing of the driver through rod 51 through the guiding through hole 34. A handle 52 is fixed at the top end of the driver through rod 51, and a rivet head 53 is snap-fitted at the bottom end of the driver through rod 51. An external thread section adapted to the thread groove 71 is provided on the outer side of the rivet head 53, which facilitates screwing the rivet head 53 tightly into the thread groove 71.

[0071] Please refer to Figure 10 , the diameter of the hollow drill bit 60 is smaller than that of the guiding through hole 34. The hollow drill bit 60 includes a drill rod 61, and a drill bit 62 is integrally formed at the bottom end of the drill rod 61. The size of the limiting gasket 70 is larger than that of the drill bit 62, the size of the limiting block 100 matches that of the drill bit 62, and the size of the limiting block 100 is smaller than that of the guiding through hole 34.

[0072] It should be noted specifically that, please refer to Figure 21, the limiting block 100 is a cylinder with a diameter the same as that of the clavicle bone tunnel. Preferably, the diameter of the limiting block 100 is slightly larger than that of the clavicle bone tunnel. The outer surface of the limiting block 100 is provided with a threaded section, and a groove is opened at the center of the top of the limiting block 100, and the groove is one of a straight slot, a cross slot, and a cross-star slot.

[0073] Preferably, in this embodiment, the groove is set as a cross groove, which is convenient for matching with a screwdriver.

[0074] It should be noted that please refer to Figure 9 and Figure 11 , the driver shank 51 is a hollow rod, a wire channel communicating with the inner cavity of the driver shank 51 is opened in the handle 52, a traction ring 54 is integrally formed at the top end of the rivet head 53, the traction ring is detachably embedded at the bottom end of the driver shank 51, and a PDS wire 55 is connected to the traction ring 54. The PDS wire 55 passes through the inner cavity of the driver shank 51 and exits from the wire channel in the handle 52.

[0075] The specific operation is as follows: Make a 1-cm small opening at the corresponding position of the coracoid process, then separate the muscle tissue here, and clamp the coracoid process holder 23 on the positioning arm 20 at the lower edge of the coracoid process 80. At the same time, make an incision parallel to the clavicle 90 about 1 cm long at the medial side of the acromioclavicular joint and the distal end of the clavicle 90. Manually rotate the guiding and pressing rod 30 to make the pressing head 33 clamp on the clavicle 90, so as to realize the pre-positioning of the clavicle 90 and the coracoid process 80. Then, adjust the depth of the positioning arm 20 embedded in the positioning body 10 according to the angle between the clavicle 90 and the coracoid process 80, and then adjust the angle between the positioning arm 20 and the positioning body 10 to facilitate the coracoid process holder 23 to face the coracoid process 80 directly, while the pressing head 33 faces the clavicle 90 directly. Then, lock the positioning arm 20 through the fixing bolt 40. For the schematic diagram, please refer to Figure 13 and Figure 14 .

[0076] After the pre-positioning and installation of the reset device are completed, by rotating the adjusting head 32, the pressing head 33 can be driven to move downward through the cooperation of the threaded rod 31 and the guiding threaded hole 13, so as to realize the reset operation of the clavicle 90 by the pressing between the coracoid process holder 23 and the pressing head 33. Use a hollow drill bit 60 to prepare a bone tunnel from the center of the clavicle 90 to the center of the coracoid process 80 through the guiding through hole 34. After the drilling is completed, the preparation work of the bone tunnel is completed, and the hollow drill bit 60 should be taken out in time. For the schematic diagram, please refer to Figure 15 .

[0077] Then insert the rivet driver 50 into the guiding through hole 34 on the guiding and pressing rod 30 until the rivet head 53 contacts the limiting gasket 70. For the schematic diagram, please refer to Figure 16 .

[0078] At this time, since the rivet head 53 is directly opposite the limit gasket 70, start rotating the handle 52 at this time. When using the handle 52, ensure the correspondence between the rivet head 53 and the limit gasket 70. When rotating the handle 52, the rivet head 53 can be driven to rotate by the screwdriver through-rod 51, and the rivet head 53 corresponds to the thread groove 71, and the rivet head 53 can be tightened and installed in the thread groove 71 on the limit gasket 70, so as to realize the pre-installation of the PDS wire. For the schematic diagram, please refer to Figure 17 .

[0079] Then manually pull the handle 52 upward. At this time, since the limit gasket 70 is limited and abuts against the coracoid bone canal on the coracoid process 80, at this time, the rivet head 53 and the screwdriver through-rod 51 are separated, so that the rivet head 53 stays in the coracoid bone canal, and the PDS wire 55 on the rivet head 53 naturally leads into the coracoid bone canal and the clavicle bone canal. Subsequently, take out the screwdriver through-rod 51 from the guiding and pressing rod 30. At this time, the PDS wire 55 extends out from the guiding through-hole 34 on the guiding and pressing rod 30, completing the installation operation of the PDS wire 55. For the schematic diagram, please refer to Figure 18 and Figure 19 .

[0080] Then install the limit block 100 at the bottom end of the screwdriver. Since a cross-shaped groove is provided at the center of the surface of the limit block 100, it is convenient to screw the screwdriver to rotate the limit block 100. Pass the screwdriver and the limit block 100 through the guiding through-hole 34 together, so that the limit block 100 abuts against the clavicle bone canal opening. At the same time, manually tighten the extended PDS wire 55 to realize the tension of the PDS wire 55. When the limit block 100 abuts against the clavicle bone canal opening, while pressing down the screwdriver, rotate the screwdriver so that the limit block 100 is embedded and installed at the clavicle bone canal opening, and the PDS wire 55 can be pressed tightly in the clavicle bone canal. Subsequently, take out the screwdriver, remove the guiding and pressing rod 30 from the clavicle 90, and remove the locator main body 10 from the coracoid process 80. At this time, the PDS wire 55 in the coracoid bone canal and the clavicle bone canal is in a tensioned state under the limitation between the limit gasket 70 and the limit block 100. Then tie and cut the PDS wire 55 at the limit block 100. For the schematic diagram, please refer to Figure 20 , at this time, the displaced clavicle 90 and coracoid process 80 are pulled through the PDS wire 55 between the limit block 100 and the limit gasket 70, and the incision is sutured layer by layer. The operation is completed.

[0081] Finally, it should be noted that the above are only the preferred embodiments of the present invention and are not used to limit the present invention. Although the present invention has been described in detail with reference to the foregoing embodiments, for those skilled in the art, they can still modify the technical solutions recorded in the foregoing embodiments, or perform equivalent replacements for some of the technical features. Any modifications, equivalent replacements, improvements, etc. made within the spirit and principle of the present invention shall be included in the protection scope of the present invention.

Claims

1. A joint dislocation reduction device, comprising: The positioner body (10) is used for structural installation and assembly, and is convenient for doctors to hold in their hands; A positioner arm (20), wherein the positioner arm (20) is slidably mounted on the positioner body (10), and a moving path of the positioner arm (20) on the positioner body (10) is arc-shaped; A fixing bolt (40), wherein the fixing bolt (40) is fixedly mounted on the positioner body (10), and the fixing bolt (40) locks the positioner arm (20); It is characterized in that A guide pressure rod (30), wherein the guide pressure rod (30) is threadedly connected to the positioner body (10), and the guide pressure rod (30) and the positioner arm (20) are in direct correspondence; A hollow drill bit (60), wherein the hollow drill bit (60) cooperates with the guide pressure rod (30) to drill bone tunnels on the coracoid process (80) and the clavicle (90), thereby forming a coracoid process bone tunnel and a clavicle bone tunnel; A rivet driver (50), wherein the rivet driver (50) is installed inside the guide pressure rod (30) and penetrates the guide pressure rod (30); A limiting gasket (70), wherein the limiting gasket (70) is engaged with the locator arm (20) to facilitate docking with the rivet driver (50); A limit block (100) is installed on the clavicle (90) in a limit position under the drive of a screwdriver, and is used in conjunction with a limit washer (70) to achieve locking between the coracoid process (80) and the clavicle (90).

2. A joint dislocation reduction device according to claim 1, characterized in that: The positioner body (10) comprises a positioning column (11), one side of the positioning column (11) is integrally formed with a hand-held portion (12), and the positioning column (11) is provided with a guide threaded hole (13) that passes through the positioning column (11) from top to bottom; A limiting main body plate (14) is integrally formed on the other side of the positioning column (11), a storage groove (15) is provided on the front side wall of the limiting main body plate (14), an observation groove (16) is provided on the rear side wall of the limiting main body plate (14), and a limiting threaded hole (17) is provided on the limiting main body plate (14) near the opening side of the storage groove (15).

3. A joint dislocation reduction device according to claim 2, characterized in that: The receiving groove (15) is an arc-shaped track, the observation grooves (16) are arranged in three groups and are all arranged along the direction of the receiving groove (15), and the receiving groove (15) and the observation groove (16) are connected, and the fixing bolt (40) is threadedly connected in the limiting threaded hole (17).

4. A joint dislocation reduction device according to claim 2, characterized in that: The locator arm (20) comprises a movable arm (21) matched with the storage slot (15); a positioning arm (22) is integrally formed at the end of the movable arm (21); a coracoid clamping seat (23) is integrally formed at the other end of the positioning arm (22); a positioning cone (24) corresponding to the coracoid clamping seat (23) is integrally formed on the inner side wall of the positioning arm (22); an angle ruler (25) is provided on the front side wall of the movable arm (21); a rectangular engaging groove is provided in the coracoid clamping seat (23); the limiting gasket (70) is configured as a rectangular gasket matching the engaging groove, and a threaded groove (71) is provided in the middle of the limiting gasket (70).

5. A joint dislocation reduction device according to claim 4, characterized in that: The positioning arm (22) is arc-shaped, and the angle between the positioning arm (22) and the movable arm (21) is 120°. A slideway (26) corresponding to the observation slot (16) is provided on the rear side wall of the movable arm (21), and a limiting slot (27) matching the fixing bolt (40) is provided in the slideway (26), and the curvature of the limiting slot (27) is the same as the curvature of the storage slot (15).

6. A joint dislocation reduction device according to claim 2, characterized in that: The guide pressure rod (30) comprises a threaded rod (31) matched with the guide threaded hole (13); an adjusting head (32) is integrally formed at the top end of the threaded rod (31); a pressure head (33) is integrally formed at the bottom end of the threaded rod (31); a through guide through hole (34) is provided in the threaded rod (31); and the guide through hole (34) penetrates the adjusting head (32) upwards and penetrates the pressure head (33) downwards.

7. A joint dislocation reduction device according to claim 6, characterized in that: The outer wall of the pressure head (33) is arranged as an inclined surface on all sides, and one side of the outer wall of the regulating head (32) is arranged as a flat surface. The diameter of the pressure head (33) is smaller than the diameter of the threaded rod (31).

8. A joint dislocation reduction device according to claim 6, characterized in that: The rivet driver (50) comprises a driver rod (51) matched with the guide through hole (34), a handle (52) is fixed at the top end of the driver rod (51), a rivet head (53) is snap-fitted at the bottom end of the driver rod (51), a traction ring (54) is integrally formed at the top end of the rivet head (53), a PDS line (55) is connected to the traction ring (54), and the PDS line (55) extends upward from the handle (52).

9. A joint dislocation reduction device according to claim 6, characterized in that: The diameter of the hollow drill bit (60) is smaller than that of the guide through hole (34); the hollow drill bit (60) comprises a drill rod (61); the bottom end of the drill rod (61) is integrally formed with a drill bit (62); the size of the limiting gasket (70) is larger than that of the drill bit (62); the size of the limiting block (100) matches that of the drill bit (62), and the size of the limiting block (100) is smaller than that of the guide through hole (34).

10. A joint dislocation reduction device according to claim 9, characterized in that: The limit block (100) is a cylinder, and its diameter is the same as the diameter of the clavicle bone tunnel. The outer surface of the limit block (100) is provided with a threaded section, and a groove is provided at the top center of the limit block (100), and the groove is one of a straight line shape, a cross shape, and a cross shape.

Citation Information

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